JON M TIPPIN (MD) – Neurology Physician, NPI 1073595880

JON M TIPPIN (MD) is a healthcare provider. based in Brentwood, Tennessee. specializing in Neurology Physician. They hold the professional credentials MD. They hold a License No. MD2019-0927 (NM). The NPI Number for JON M TIPPIN (MD) is 1073595880

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
JON M TIPPIN (MD)
NPI
1073595880
Phone
(615) 345-5400
Address
3 MARYLAND FARMS STE 200
Enumeration Date
17 November 2005
Last Update Date
21 February 2020

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
80034845656216
Graduation Year
1979 (47 years ago)
PAC ID
2466412747
Group Practice PAC ID
1355495961
Professional Enrollment ID
I20160914001867
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for JON M TIPPIN (MD)

  • 3 MARYLAND FARMS STE 200

    BRENTWOOD, TN 370275005

    Phone: (615) 345-5400

    Fax: (888) 468-6603

    Type: Mailing

  • 768, Taylor Road, Kalama, Cowlitz County, Washington, 98625, United States

    KALAMA, WA 98625

    Phone: (615) 345-5400

    Type: Location

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: 2016-09-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160914001867INeurologyINTBD

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 37027)

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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: 1355495961View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JON M TIPPIN (MD) in U.S. healthcare records?
The official identifier for JON M TIPPIN (MD) is NPI 1073595880.
Is there an active status for JON M TIPPIN (MD)?
For scheduling context, JON M TIPPIN (MD) is shown as active in the registry.
What kind of doctor is JON M TIPPIN (MD)?
JON M TIPPIN (MD) is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is JON M TIPPIN (MD) registered?
Use Brentwood, Tennessee as the headline location for JON M TIPPIN (MD) here.
Does JON M TIPPIN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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