MARY D TIPTON (MD) – Pediatrics Physician, NPI 1922065598
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY D TIPTON (MD)
3584 W 9000 S STE 404
WEST JORDAN, UT 840885712
Phone: (801) 890-3837
Fax: (801) 743-7596
Type: Mailing
3570 W 9000 S STE 220
WEST JORDAN, UT 840888873
Phone: (801) 890-3837
Fax: (801) 743-7596
Type: Location
Copper View Medical Center, 3556, 9800 South, Maxfield, South Jordan, Salt Lake County, Utah, 84095, United States
#101
SOUTH JORDAN, UT 840953211
Phone: (801) 352-9500
Fax: (801) 352-9502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $3,768.
Total Amount is formed as General ($2,168) + Research ($1,600) + Ownership ($0) = $3,768.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,704).
Total Amount
$3,768
General + Research + Ownership
Payments
36
Total payment records
General Amount
$2,168
General payments
Research Amount
$1,600
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $1,704 |
| PFIZER INC. | $1,611 |
| ABBVIE INC. | $165 |
| Lilly USA, LLC | $132 |
| Abbott Laboratories | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 101 | 53 | $0 |
| 83036 | Hemoglobin a1c level | 56 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 32 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 26 | 12 | $0 |
Insurance plans in this area (ZIP 84088)
Loading plans...
Provider's Procedures
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| - | UT | |
| Internal Medicine, Pediatric Medicine | UT | |
| - | UT | |
| Physician Assistant | AZ | |
| Physician Assistant | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.