Active NPI 1639100845 Individual Practitioner Male Practitioner

Dr. John Clarence Lipham , MD

Surgery • Los Angeles, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Lipham, MD is a certified Surgery practicing in Los Angeles, CA. With approximately 31 years of clinical experience since graduating from Medical College Of Wisconsin in 1995, Dr. Lipham delivers high-quality medical care to the local community at 1450 SAN PABLO ST STE 6200.

Dr. Lipham is affiliated with Usc Care Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1450 San Pablo St Ste 6200

Los Angeles, CA 90033

Telephone 3234429062

Associated Practice Facility / Clinic

🏢 Usc Care Medical Group, Inc Facility NPI 1902846306

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Los Angeles, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

285 Specialists

Practicing in Los Angeles, CA (3346 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lipham (31 Years) 31 Yrs

Los Angeles Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	170	161	$1310.00	$132.55
99213 Established patient office or other outpatient visit, typically 15 minutes	86	75	$275.00	$96.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	53	$400.00	$122.34
99443 Telephone medical discussion with physician, 21-30 minutes	40	30	$400.00	$138.89
43249 Balloon dilation of esophagus using an endoscope	36	25	$600.00	$158.95
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	34	34	$4950.00	$1555.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$600.00	$175.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$535.00	$166.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$750.00	$218.41
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	16	16	$5560.00	$1755.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$400.00	$119.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	181	$275.00	$85.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	173	164	$1310.00	$136.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$600.00	$160.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$400.00	$108.93
99443 Telephone medical discussion with physician, 21-30 minutes	41	33	$400.00	$139.60
43249 Balloon dilation of esophagus using an endoscope	38	26	$600.00	$162.15
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	32	32	$4950.00	$1600.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$400.00	$94.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$750.00	$199.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	195	151	$275.00	$83.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	163	153	$1310.00	$141.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	54	$400.00	$116.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$600.00	$160.61
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	42	42	$4950.00	$1643.33
43249 Balloon dilation of esophagus using an endoscope	35	28	$600.00	$161.52
99443 Telephone medical discussion with physician, 21-30 minutes	34	24	$400.00	$141.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$750.00	$204.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$400.00	$88.85
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$5560.00	$1842.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	160	151	$1310.00	$135.66
99213 Established patient office or other outpatient visit, typically 15 minutes	145	107	$275.00	$93.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	76	$400.00	$111.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$600.00	$172.23
43249 Balloon dilation of esophagus using an endoscope	54	34	$600.00	$157.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$750.00	$200.40
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	33	33	$4950.00	$1654.34
99443 Telephone medical discussion with physician, 21-30 minutes	22	17	$400.00	$144.49
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	12	12	$5560.00	$1868.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	151	147	$1310.00	$144.18
99213 Established patient office or other outpatient visit, typically 15 minutes	90	69	$275.00	$80.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$600.00	$170.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$400.00	$97.46
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	43	43	$4950.00	$1689.23
43249 Balloon dilation of esophagus using an endoscope	41	28	$600.00	$161.81
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$5560.00	$1891.21
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$271.31	$105.97
91040 Study of esophageal sensation by balloon distension	11	11	$150.00	$55.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	156	$197.24	$70.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	155	151	$1310.00	$136.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$453.71	$162.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$333.33	$88.74
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	43	43	$260.00	$90.76
43249 Balloon dilation of esophagus using an endoscope	42	30	$600.00	$170.49
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	41	41	$4950.00	$1654.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$142.50	$29.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	367	238	$170.00	$61.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	177	166	$1310.00	$137.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$390.00	$154.94
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	70	69	$260.00	$87.54
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	40	40	$4888.13	$1553.15
43249 Balloon dilation of esophagus using an endoscope	39	26	$600.00	$164.16
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$5560.00	$1782.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	464	278	$170.00	$60.09
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	177	161	$1310.00	$137.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$390.00	$152.26
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	58	57	$260.00	$90.47
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	49	49	$4798.47	$1545.09
43249 Balloon dilation of esophagus using an endoscope	49	31	$600.00	$170.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$250.00	$107.56
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1140.00	$120.14

Medical Specialties & State Licenses

CMS Verified: 2020-09-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A62161

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Usc Care Medical Group Inc

1520 San Pablo St, Los Angeles, CA 900335310

Phone: 8008722273

Usc Care Medical Group Inc

9920 Talbert Ave, Fountain Valley, CA 927085153

Phone: 7143787000

Usc Care Medical Group Inc

1516 San Pablo St, Los Angeles, CA 900335313

Phone: 8008722273

Usc Care Medical Group Inc

1520 San Pablo St 1st Floor N, Los Angeles, CA 900335310

Phone: 8008722273

Usc Care Medical Group Inc

1516 San Pablo St, Los Angeles, CA 900335313

Phone: 8008722273

Usc Care Medical Group Inc

1520 San Pablo St, Los Angeles, CA 900335310

Phone: 8008722273

Usc Care Medical Group Inc

1500 San Pablo St, Los Angeles, CA 900335313

Phone: 3234428444

Usc Care Medical Group Inc

1450 San Pablo St, Los Angeles, CA 900334500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Dilipkumar Parekh , MD

Surgery - Surgical Oncology

NPI 1043242795

Doctor of Medicine (M.D.)

Sarah Kim , PA-C

Physician Assistant

NPI 1063038107

Physician Assistant (Certified)

Elizabeth Chang , PAC-C

Physician Assistant

NPI 1073140315

PACC

Dr. Azadeh Carr , MD

Surgery - Surgical Oncology

NPI 1154601441

Doctor of Medicine (M.D.)

Dr. Namir Katkhouda , MD

Surgery

NPI 1164450714

Doctor of Medicine (M.D.)

Dr. Sean Wightman , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1174802755

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location March 05, 2019

Registered at 1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033 (Tel: 3234429062)

✅

NPI Profile Active July 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2014

Registered at 1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 900335324 (Tel: 3234425907)

📍

Updated Business Mailing Address July 16, 2014

Registered at PO BOX 31309, LOS ANGELES, CA 900310309 (Tel: 3234425907)

👤

Provider Name / Credentials Updated July 16, 2014

Recorded as JOHN LIPHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2014

Surgery (License #A62161 in CA)

🟢

Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639100845

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 05, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 31309

Los Angeles, CA 900310309

Phone: 3234429062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.