DR. MICHAEL C LIPKE (M.D.) – Urology Physician, NPI 1104811801

DR. MICHAEL C LIPKE (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. MD00046383 (WA). The NPI Number for DR. MICHAEL C LIPKE (M.D.) is 1104811801

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL C LIPKE (M.D.)
NPI
1104811801
Phone
(503) 203-2120
Address
9427 SW BARNES RD
Enumeration Date
19 September 2005
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
1999 (27 years ago)
PAC ID
1254361744
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20071228000102
Address ID
OR971245806HI2875XAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

173 UROLOGY in OR

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Provider Addresses for DR. MICHAEL C LIPKE (M.D.)

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Multnomah County, Oregon, 97221, United States

    PORTLAND, OR 972256652

    Phone: (503) 203-2120

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-06

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
I20071228000102IUrologyORTBD
I20100106000287IUrologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97225)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What is DR. MICHAEL C LIPKE (M.D.)'s NPI number?
DR. MICHAEL C LIPKE (M.D.)'s NPI is 1104811801 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MICHAEL C LIPKE (M.D.)?
For scheduling context, DR. MICHAEL C LIPKE (M.D.) is shown as active in the registry.
How would a patient describe DR. MICHAEL C LIPKE (M.D.)'s focus?
For DR. MICHAEL C LIPKE (M.D.), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. MICHAEL C LIPKE (M.D.) registered?
Use Portland, Oregon as the headline location for DR. MICHAEL C LIPKE (M.D.) here.
Can I trust this NPI listing for DR. MICHAEL C LIPKE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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