DR. JOHN KENNETH LIPPINCOTT (MD) – Ophthalmology Physician, NPI 1871094110

DR. JOHN KENNETH LIPPINCOTT (MD) is a healthcare provider. based in Portland, Maine. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 76892 (WI). The NPI Number for DR. JOHN KENNETH LIPPINCOTT (MD) is 1871094110

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN KENNETH LIPPINCOTT (MD)
NPI
1871094110
Phone
(207) 828-2020
Address
53 SEWALL ST
Enumeration Date
22 February 2018
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2078282020
Graduation Year
2018 (8 years ago)
PAC ID
0244642924
Group Practice PAC ID
7517995129
Professional Enrollment ID
I20240618002480
Address ID
ME041022625PO53XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

71 OPHTHALMOLOGY in ME

Provider Addresses for DR. JOHN KENNETH LIPPINCOTT (MD)

  • 53 SEWALL ST

    PORTLAND, ME 041022625

    Phone: (207) 828-2020

    Fax: (207) 773-7034

    Type: Mailing

  • 925 N 87TH ST

    MILWAUKEE, WI 532264812

    Phone: (414) 955-2020

    Fax: (414) 955-6300

    Type: Mailing

  • 925 N 87th St

    Milwaukee, WI 532264812

    Phone: (414) 955-2020

    Fax: (414) 955-6300

    Type: Location

  • 9000 W Wisconsin Ave

    Milwaukee, WI 532264874

    Phone: (414) 266-2020

    Fax: (414) 266-2027

    Type: Location

  • 1392, Country Wood Cove, Tupelo, Lee County, Mississippi, 38801, United States

    TUPELO, MS 388018459

    Phone: (662) 322-2414

    Type: Mailing

  • 764, Lakeland Drive, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164651

    Phone: (601) 984-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $576.

Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alimera Sciences, Inc. ($350).

Total Amount

$576

General + Research + Ownership

Payments

5

Total payment records

General Amount

$576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220716000448IOphthalmologyWITBD
I20240618002480IOphthalmologyMETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina5347$0
67028Injection of drug into eye4640$0
67042Removal of membrane of retina with removal of internal limiting membrane of retina2424$0
67036Removal of eye fluid (vitreous) between lens and retina1917$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517995129View full group profile
NameSpecialtyState
-ME
O P H T H A L M O L O G YME
O P T O M E T R YME
-ME
O P H T H A L M O L O G YME
-ME
O P H T H A L M O L O G YME
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YME
O P H T H A L M O L O G YME

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN KENNETH LIPPINCOTT (MD)?
The federal identifier for DR. JOHN KENNETH LIPPINCOTT (MD) is NPI 1871094110.
Is DR. JOHN KENNETH LIPPINCOTT (MD)'s NPI currently valid?
The extract we use shows DR. JOHN KENNETH LIPPINCOTT (MD) as active.
What field does DR. JOHN KENNETH LIPPINCOTT (MD) work in?
You can think of DR. JOHN KENNETH LIPPINCOTT (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN KENNETH LIPPINCOTT (MD)'s primary listing?
We display Portland, Maine because that is what the record indicates for DR. JOHN KENNETH LIPPINCOTT (MD).
What if Portland, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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