TIMOTHY A LIPSKI (MD) – Emergency Medicine Physician, NPI 1093726499
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
Provider Addresses for TIMOTHY A LIPSKI (MD)
840 N 5TH AVE STE 1400
SEQUIM, WA 983823045
Phone: (360) 582-2930
Fax: (360) 582-2931
Type: Mailing
907 Georgiana St
Port Angeles, WA 983623911
Phone: (360) 565-0550
Fax: (360) 565-0551
Type: Location
700 LILLY RD NE
OLYMPIA, WA 985065115
Phone: (360) 923-7000
Type: Mailing
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone:
Type: Mailing
Providence Family Medicine - West Olympia, 1620, Cooper Point Road Southwest, Quixote Village, Olympia, Thurston County, Washington, 98502, United States
PMG SW WA W OLYMPIA IMMEDIATE CARE
OLYMPIA, WA 98502
Phone: (360) 486-6710
Fax: (360) 705-0614
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: 2007-09-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070924000193 | I | Emergency Medicine | WA | TBD |
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.
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 98382)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Family Practice | WA | |
| - | NY | |
| - | WA | |
| - | WA | |
| - | TN | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Cardiovascular Disease (Cardiology) | WA | |
| Family Practice | GU |
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