Active NPI 1437192697 Individual Practitioner Male Practitioner

Dr. Mark L Lipham , MD

Internal Medicine • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Lipham, MD is a certified Internal Medicine practicing in Carrollton, GA. With approximately 55 years of clinical experience since graduating from Emory University School Of Medicine in 1971, Dr. Lipham delivers high-quality medical care to the local community at 105 DOCTORS DRIVE.

Dr. Lipham accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 Doctors Drive

Carrollton, GA 30117

Telephone 7708320012

Fax 7708320685

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs +32.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

23 Specialists

Practicing in Carrollton, GA (4065 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lipham (55 Years) 55 Yrs

Carrollton Specialty Average (22.7 Years) 22.7 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
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	924	193	$80.00	$37.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	306	187	$100.00	$68.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	215	205	$175.00	$122.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	98	$150.00	$117.46
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	74	26	$100.00	$42.28
99213 Established patient office or other outpatient visit, typically 15 minutes	66	44	$100.00	$83.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	39	$200.00	$165.44
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	44	13	$30.00	$6.97
99497 Advance care planning, first 30 minutes	30	30	$150.00	$74.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$175.00	$116.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	20	$125.00	$48.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	890	202	$80.00	$37.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	369	203	$100.00	$70.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	111	$150.00	$120.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	216	208	$175.00	$126.61
99213 Established patient office or other outpatient visit, typically 15 minutes	75	51	$100.00	$84.71
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	59	18	$100.00	$42.79
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	20	$30.00	$6.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	44	$200.00	$168.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	26	$125.00	$48.57
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	33	19	$150.00	$72.62
99497 Advance care planning, first 30 minutes	30	30	$150.00	$78.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$175.00	$120.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	794	197	$80.00	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	123	$150.00	$121.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	202	$100.00	$64.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	235	225	$175.00	$121.35
99213 Established patient office or other outpatient visit, typically 15 minutes	111	68	$100.00	$85.71
99335 Established patient assisted living visit, typically 25 minutes	98	16	$150.00	$89.88
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	21	$30.00	$6.66
99336 Established patient assisted living visit, typically 40 minutes	63	18	$200.00	$127.55
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	32	$125.00	$49.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	44	$200.00	$170.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$175.00	$122.80
99497 Advance care planning, first 30 minutes	38	38	$150.00	$80.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$200.00	$159.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	918	189	$80.00	$41.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	135	$150.00	$123.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	231	149	$100.00	$65.68
99213 Established patient office or other outpatient visit, typically 15 minutes	207	126	$100.00	$86.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	198	190	$175.00	$123.80
99336 Established patient assisted living visit, typically 40 minutes	167	28	$200.00	$129.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	62	40	$125.00	$49.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	52	21	$30.00	$6.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$200.00	$172.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$152.58
99497 Advance care planning, first 30 minutes	14	12	$150.00	$81.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$175.00	$125.63
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	12	12	$100.00	$57.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,052	227	$80.00	$42.88
99213 Established patient office or other outpatient visit, typically 15 minutes	622	209	$100.00	$71.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	272	177	$100.00	$67.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	180	171	$175.00	$126.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	104	33	$30.00	$7.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$175.00	$110.11
99497 Advance care planning, first 30 minutes	65	65	$150.00	$83.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	24	$125.00	$50.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$150.00	$103.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	2,020	388	$80.00	$42.69
99213 Established patient office or other outpatient visit, typically 15 minutes	771	238	$100.00	$70.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	383	264	$100.00	$66.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	325	298	$175.00	$126.46
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	142	47	$30.00	$6.80
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	40	$150.00	$87.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	24	$125.00	$50.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$175.00	$110.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$150.00	$103.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,846	372	$80.00	$40.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,089	491	$100.00	$63.58
99213 Established patient office or other outpatient visit, typically 15 minutes	796	261	$100.00	$65.62
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	216	208	$150.00	$83.66
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	174	54	$30.00	$7.15
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	170	162	$175.00	$119.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	49	$150.00	$97.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	34	$125.00	$48.29
99495 Transitional care management services for problem of at least moderate complexity	21	19	$225.00	$147.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$175.00	$104.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$85.00	$39.10
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	12	$80.00	$37.25
99497 Advance care planning, first 30 minutes	15	15	$290.00	$77.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	2,980	516	$79.01	$62.26
99213 Established patient office or other outpatient visit, typically 15 minutes	835	274	$90.00	$64.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	331	308	$150.45	$117.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	280	76	$25.00	$6.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	92	$110.00	$94.42
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	42	20	$75.00	$36.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	25	$81.29	$47.56
99495 Transitional care management services for problem of at least moderate complexity	18	16	$150.00	$137.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$112.22	$101.88

Medical Specialties & State Licenses

CMS Verified: 2024-11-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 19173

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License GA 19173

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000217753A (GA)

Commercial Insurance / Payer ID Blue Shield

024977

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Internal Medicine (License #19173 in GA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 105 DOCTORS DRIVE, CARROLLTON, GA 30117 (Tel: 7708320012)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 997, CARROLLTON, GA 30112 (Tel: 7708320012)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK LIPHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #19173 in GA)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1437192697

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: November 13, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 997

Carrollton, GA 30112

Phone: 7708320012

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.