Active NPI 1962470633 Individual Practitioner Male Practitioner

Todd David Lipphardt , PA

Physician Assistant • Highlands, NC

Professional Overview & Biography Verified Profile Summary

Todd Lipphardt, PA is a registered healthcare professional specializing in Physician Assistant in Highlands, NC. Practice services are available at 209 HOSPITAL DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, testing for presence of drug, by chemistry analyzers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

209 Hospital Drive
Suite 104

Highlands, NC 287417622

Telephone 8285264346

Fax 8285262914

Associated Practice Facility / Clinic

🏢 Highlands-Cashiers Hospital, Inc. Facility NPI 1215385000

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Highlands, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Highlands, NC (9374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	118	96	$266.86	$75.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	12	$23.12	$1.04
80307 Testing for presence of drug, by chemistry analyzers	36	35	$191.64	$60.90
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	33	32	$353.27	$112.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$477.09	$138.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$372.10	$104.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$310.00	$93.99
20552 Injections of trigger points in 1 or 2 muscles	12	11	$199.00	$44.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	831	208	$225.38	$102.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	13	$10.25	$1.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$346.92	$130.61
20552 Injections of trigger points in 1 or 2 muscles	14	13	$118.04	$42.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,058	229	$224.64	$105.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	209	21	$10.25	$1.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$224.64	$82.14
20552 Injections of trigger points in 1 or 2 muscles	33	21	$118.04	$44.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$346.70	$138.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	936	224	$224.79	$106.90
99213 Established patient office or other outpatient visit, typically 15 minutes	219	127	$153.33	$75.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	11	$10.25	$1.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$224.64	$80.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$346.70	$140.28
20552 Injections of trigger points in 1 or 2 muscles	17	11	$118.04	$45.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	669	191	$153.33	$62.43
99213 Established patient office or other outpatient visit, typically 15 minutes	250	135	$80.12	$42.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	17	$10.25	$1.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	45	$224.64	$91.13
99441 Telephone medical discussion with physician, 5-10 minutes	39	39	$87.72	$21.63
99441 Telephone medical discussion with physician, 5-10 minutes	36	25	$87.72	$37.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$125.65	$66.10
20552 Injections of trigger points in 1 or 2 muscles	24	17	$118.04	$46.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$228.38	$63.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$228.38	$86.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	101	$67.00	$42.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	848	279	$67.33	$42.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	153	$112.34	$64.65
99213 Established patient office or other outpatient visit, typically 15 minutes	66	64	$67.94	$59.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$112.00	$87.63
20552 Injections of trigger points in 1 or 2 muscles	28	14	$116.00	$31.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$46.00	$20.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	125	$67.17	$41.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	113	$112.29	$64.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	109	$46.17	$20.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	78	$46.00	$20.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	46	$112.00	$64.55
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$67.00	$41.86
20552 Injections of trigger points in 1 or 2 muscles	31	21	$116.00	$31.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-05321

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI 5601001868

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

NCR510A194 (NC)

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Patti Wheeler , MD

Family Medicine

NPI 1265411169

Doctor of Medicine (M.D.)

Dr. Paul Olson , MD

Family Medicine

NPI 1265500268

Doctor of Medicine (M.D.)

Dr. Hannah Hough , DNP, RN, FNP-C

Nurse Practitioner - Family

NPI 1306723762

Doctor of Nursing Practice, Registered Nurse, Family Nurse Practitioner (Certified)

Dr. James Martin , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1477536985

Doctor of Medicine (M.D.)

Dr. Robyn Restrepo , MD

Family Medicine

NPI 1811300064

Doctor of Medicine (M.D.)

Dr. Margaret Mack , PhD, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1821332941

Doctor of Philosophy (Ph.D.), Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 27, 2017

Registered at PO BOX 254, SKYLAND, NC 287760254 (Tel: 8287089876)

📍

Updated Practice Location June 27, 2017

Registered at 209 HOSPITAL DRIVE, SUITE 104, HIGHLANDS, NC 287417622 (Tel: 8285264346)

👤

Provider Name / Credentials Updated June 27, 2017

Recorded as TODD LIPPHARDT, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Physician Assistant (License #5601001868 in MI)

✅

NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2016

Registered at 209 HOSPITAL DRIVE, SUITE 104, HIGHLANDS, NC 287417622 (Tel: 8285264346)

📍

Updated Business Mailing Address March 18, 2016

Registered at PO BOX 602373, CHARLOTTE, NC 282602373 (Tel: 8285261280)

👤

Provider Name / Credentials Updated March 18, 2016

Recorded as TODD LIPPHARDT, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Physician Assistant (License #0010-05321 in NC)

🟢

Initial NPI Registration & Enumeration March 09, 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: 1962470633

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: June 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 254

Skyland, NC 287760254

Phone: 8287089876

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.