MARY D TIPTON (MD) – Pediatrics Physician, NPI 1922065598

MARY D TIPTON (MD) is a healthcare provider. based in West jordan, Utah. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 5934303-1205 (UT). The NPI Number for MARY D TIPTON (MD) is 1922065598

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MARY D TIPTON (MD)
NPI
1922065598
Phone
(801) 890-3837
Address
3584 W 9000 S STE 404
Enumeration Date
27 April 2006
Last Update Date
10 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015679780
Graduation Year
2001 (25 years ago)
PAC ID
1153361415
Group Practice PAC ID
4284538976
Professional Enrollment ID
I20060215000789
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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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

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes10153$0
83036Hemoglobin a1c level5625$0
99214Established patient office or other outpatient visit, 30-39 minutes4335$0
99213Established patient office or other outpatient visit, 20-29 minutes3932$0
G2212Prolonged 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 or2612$0
View full utilization report →

Insurance plans in this area (ZIP 84088)

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Provider's Procedures

MARY D TIPTON (MD) performs procedures in Pediatrics Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEUT83036Hemoglobin A1C level7642
INTERNAL MEDICINEUT90670Pneumococcal vaccine for injection into muscle1616

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: 4284538976View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Nurse PractitionerUT
-UT
-UT
Internal Medicine, Pediatric MedicineUT
-UT
Physician AssistantAZ
Physician AssistantUT

Reviews

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Frequently asked questions

Does MARY D TIPTON (MD) have a public NPI I can cite?
Public records show MARY D TIPTON (MD) under NPI 1922065598.
Does the public listing show MARY D TIPTON (MD) as active?
MARY D TIPTON (MD)'s NPI record reflects an active status in NPPES.
What type of care does MARY D TIPTON (MD) provide?
MARY D TIPTON (MD)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is MARY D TIPTON (MD) tied to West Jordan, Utah?
If you are local to West Jordan, Utah, MARY D TIPTON (MD) may be relevant to your search.
Can I export MARY D TIPTON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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