Active NPI 1639436835 Individual Practitioner Female Practitioner

Dr. Megan Elaine Sippey , MD

Surgery • Ashland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Megan Sippey, MD is a certified Surgery practicing in Ashland, OH. With approximately 14 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2012, Dr. Sippey delivers high-quality medical care to the local community at 2212 MIFFLIN AVE STE 220.

Dr. Sippey is affiliated with University Primary Care Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2212 Mifflin Ave Ste 220

Ashland, OH 448058846

Telephone 4192810451

Fax 4192072641

Associated Practice Facility / Clinic

🏢 Comprehensive Pain Care Specialists, Llc Facility NPI 1336488659

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ashland, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Ashland, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sippey (14 Years) 14 Yrs

Ashland Specialty Average (14.0 Years) 14.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$175.00	$106.28
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$133.00	$86.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$187.00	$122.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	15	$115.00	$73.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$223.00	$121.46
45380 Biopsy of large bowel using an endoscope	26	26	$750.00	$99.17
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	20	20	$15.00	$5.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$800.00	$242.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$270.00	$160.37
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$159.00	$79.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$175.65	$106.91
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$125.00	$86.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	19	$85.00	$48.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$224.24	$127.50
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	28	28	$15.00	$5.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$270.00	$161.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$80.00	$54.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$175.00	$123.30
45380 Biopsy of large bowel using an endoscope	14	14	$750.00	$130.45
47562 Removal of gallbladder using an endoscope	14	14	$2100.00	$655.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$800.00	$246.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	41	$127.73	$87.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	22	$115.00	$70.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$171.00	$110.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	12	$85.00	$38.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$164.70	$125.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$255.00	$164.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$78.10	$55.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$223.00	$133.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$162.00	$110.92
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$106.00	$90.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$242.00	$166.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$85.00	$38.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$157.00	$127.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$67.00	$55.01
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	12	12	$15.00	$5.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$237.16	$159.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$157.83	$105.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$151.88	$107.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$103.00	$73.63
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	12	12	$15.00	$5.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49650 Repair of groin hernia using an endoscope	11	11	$1855.45	$68.31

Medical Specialties & State Licenses

CMS Verified: 2020-12-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.133366

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

University Primary Care Practices Inc

158 W Main Rd, Conneaut, OH 440302039

University Primary Care Practices Inc

1025 Ctr St, Ashland, OH 448054011

Phone: 4192899800

Secondary Practice Locations

2100 Stantonsburg Rd

Greenville, NC 27834

Phone: 2527445069

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mary Macdonald , MD

Surgery

NPI 1841373362

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 18, 2020

Registered at 2212 MIFFLIN AVE STE 220, ASHLAND, OH 448058846 (Tel: 4192810451)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Surgery (License #35.133366 in OH)

📍

Updated Practice Location July 26, 2018

Registered at 2100 STANTONSBURG RD, GREENVILLE, NC 27834 (Tel: 2527445069)

✅

NPI Profile Active April 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2012

Registered at 2100 STANTONSBURG RD, GREENVILLE, NC 278342818 (Tel: 2527445069)

📍

Updated Business Mailing Address April 12, 2012

Registered at 2100 STANTONSBURG RD, GREENVILLE, NC 278342818 (Tel: 2527445069)

👤

Provider Name / Credentials Updated April 12, 2012

Recorded as MEGAN SIPPEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 12, 2012

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: 1639436835

Entity Type:

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

Enumeration Date: April 12, 2012

Last Update: December 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2100 Stantonsburg Rd

Greenville, NC 278342818

Phone: 2527445069

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.