DR. MICHAEL DAVID KIPP (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1104122936
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
69 PODIATRY in ME
Provider Addresses for DR. MICHAEL DAVID KIPP (D.P.M.)
401 CUMBERLAND AVE
APT 401
PORTLAND, ME 041015831
Phone: (570) 954-6775
Type: Mailing
81 MEDICAL CENTER DR
SUITE 2100
BRUNSWICK, ME 040112764
Phone: (207) 725-4008
Type: Location
15 Enterprise Dr
Augusta, ME 043307997
Phone: (207) 621-8700
Type: Location
81 Medical Center Dr
Suite 2100
Brunswick, ME 040112764
Phone: (207) 725-4008
Type: Location
3 SAINT CATHERINE ST
AUGUSTA, ME 043305732
Phone: (207) 620-7273
Fax: (207) 620-7275
Type: Location
PO BOX 1673
VOORHEES, NJ 080437673
Phone: (207) 620-7273
Fax: (207) 620-7275
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Bioventus LLC ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130821000098 | I | Podiatry | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 163 | 127 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 73 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 04101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | ME | 73630 | X-ray of foot, minimum of 3 views | 135 | 70 |
Group practice members
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