MARK ALLEN TIPTON (PSY. D.) – Clinical Psychologist, NPI 1093827776

MARK ALLEN TIPTON (PSY. D.) is a healthcare provider. based in Dallas, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. They hold a License No. 1144 (WV). The NPI Number for MARK ALLEN TIPTON (PSY. D.) is 1093827776

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN TIPTON (PSY. D.)
NPI
1093827776
Phone
(214) 918-1999
Address
8390 Lyndon B Johnson Fwy Ste 575
Enumeration Date
31 August 2006
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149181999
Graduation Year
2014 (12 years ago)
PAC ID
7911286976
Group Practice PAC ID
7315119518
Professional Enrollment ID
I20210622000273
Address ID
TX752064084DA4925XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for MARK ALLEN TIPTON (PSY. D.)

  • 8390 Lyndon B Johnson Fwy Ste 575

    Dallas, TX 752431289

    Phone: (214) 918-1999

    Type: Location

  • 4925 Greenville Ave Ste 1050

    Dallas, TX 752064084

    Phone: (214) 918-1999

    Fax: (972) 850-9452

    Type: Location

  • Hospital Plaza, Hill 'n Dale, Clarksburg, Harrison County, West Virginia, 26301, United States

    CLARKSBURG, WV 263019316

    Phone: (304) 623-5661

    Fax: (304) 623-2180

    Type: Mailing

  • 2032 10TH AVE SUITE 4

    CANYON, TX 79015

    Phone: (806) 476-1440

    Fax: (806) 476-1450

    Type: Mailing

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: 2021-06-22

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
I20161115000362IClinical PsychologistWVTBD
I20210622000273IClinical PsychologistTXTBD

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
90832Psychotherapy, 30 minutes1,128131$0
90791Psychiatric diagnostic evaluation131131$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes11676$0
96130Evaluation of psychological test, first hour7878$0
96136Administration of psychological or neuropsychological test, first 30 minutes7676$0
View full utilization report →

Insurance plans in this area (ZIP 75243)

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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: 7315119518View full group profile
NameSpecialtyState
Clinical PsychologistTN
Clinical PsychologistTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Mental Health CounselorTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Does MARK ALLEN TIPTON (PSY. D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK ALLEN TIPTON (PSY. D.) uses 1093827776.
Does the file indicate MARK ALLEN TIPTON (PSY. D.) is practicing under active NPI?
Directory data currently reports MARK ALLEN TIPTON (PSY. D.) as active.
What is MARK ALLEN TIPTON (PSY. D.) best known for clinically?
Directory data describes MARK ALLEN TIPTON (PSY. D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for MARK ALLEN TIPTON (PSY. D.)?
MARK ALLEN TIPTON (PSY. D.)'s geographic hint is Dallas, Texas in our summary view.
Why does MARK ALLEN TIPTON (PSY. D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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