WILLIAM J LIPHAM (M.D.) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1528053717

WILLIAM J LIPHAM (M.D.) is a healthcare provider. based in Bloomington, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 41668 (MN). The NPI Number for WILLIAM J LIPHAM (M.D.) is 1528053717

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J LIPHAM (M.D.)
NPI
1528053717
Phone
(952) 567-6092
Address
9801 DUPONT AVE S
Enumeration Date
14 September 2005
Last Update Date
17 October 2017

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9528885800
Graduation Year
1993 (33 years ago)
PAC ID
5496740532
Group Practice PAC ID
4284524539
Professional Enrollment ID
I20041013000403
Address ID
MN554313200BL9801XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for WILLIAM J LIPHAM (M.D.)

  • Smiles For Life Dental of Bloomington, 9801, Dupont Avenue South, Bloomington, Hennepin County, Minnesota, 55431, United States

    SUITE 425

    BLOOMINGTON, MN 554313100

    Phone: (952) 567-6092

    Fax: (952) 567-6176

    Mailing address matches the actual address.

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 $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Horizon Therapeutics plc ($36).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2026-03-12

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
I20041013000403IOphthalmologyMNTBD
I20260312003774IOphthalmologyTXTBD

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
J0588Injection, incobotulinumtoxin a, 1 unit1,69911$0
92285Photography of content of eyes116112$0
92081Exam of visual field with limited testing8583$0
99204New patient office or other outpatient visit, 45-59 minutes6767$0
99214Established patient office or other outpatient visit, 30-39 minutes6361$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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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: 4284524539View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
-MN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What is WILLIAM J LIPHAM (M.D.)'s NPI number?
WILLIAM J LIPHAM (M.D.)'s NPI is 1528053717 — the number used across U.S. healthcare to identify this provider.
Is WILLIAM J LIPHAM (M.D.) still an active registrant?
WILLIAM J LIPHAM (M.D.) carries an active NPI according to the public dataset.
How would a patient describe WILLIAM J LIPHAM (M.D.)'s focus?
For WILLIAM J LIPHAM (M.D.), the primary taxonomy reads as Ophthalmic Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM J LIPHAM (M.D.)?
Travel planning: use Bloomington, Minnesota as the reference point for WILLIAM J LIPHAM (M.D.), then confirm.
Does WILLIAM J LIPHAM (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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