Active NPI 1497925499 Individual Practitioner Male Practitioner

Toby James Tippie , PA-C

Physician Assistant - Surgical • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Toby Tippie, PA-C is a certified Physician Assistant - Surgical practicing in Lima, OH. With approximately 14 years of clinical experience since completing medical education in 2012, Toby Tippie delivers high-quality medical care to the local community at 801 MEDICAL DR.

Toby Tippie is affiliated with Comprehensive Rehab Consultants Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Medical Dr
Suite A

Lima, OH 458044031

Telephone 4192226622

Fax 4192224069

Associated Practice Facility / Clinic

🏢 West Central Ohio Group Ltd. Facility NPI 1952385221

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +0.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

34 Specialists

Practicing in Lima, OH (403 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tippie (14 Years) 14 Yrs

Lima Specialty Average (13.5 Years) 13.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	153	142	$187.00	$72.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$240.75	$102.40
81003 Automated urinalysis test	18	18	$5.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	112	$187.00	$73.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$266.00	$104.80
81003 Automated urinalysis test	17	16	$5.00	$2.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	13	$150.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	274	255	$187.00	$74.18
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	55	53	$150.00	$50.51
81003 Automated urinalysis test	21	21	$5.00	$2.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	29	29	$967.00	$105.71
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$145.30	$76.52
99285 Emergency department visit for life threatening or functioning severity	22	22	$1489.00	$154.67
99283 Emergency department visit with low level of medical decision making	16	14	$587.00	$62.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	23	22	$1489.00	$150.41
99284 Emergency department visit with moderate level of medical decision making	16	16	$967.00	$103.46
99283 Emergency department visit with low level of medical decision making	15	14	$587.00	$56.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	30	30	$438.90	$52.66
99284 Emergency department visit with moderate level of medical decision making	25	25	$685.76	$99.94
99285 Emergency department visit for life threatening or functioning severity	15	15	$687.13	$147.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	23	22	$651.00	$145.52
99284 Emergency department visit with moderate level of medical decision making	18	18	$432.00	$98.77
99283 Emergency department visit with low level of medical decision making	11	11	$286.00	$51.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,820	33	$28.00	$16.66
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,152	18	$31.25	$12.26
20610 Aspiration and/or injection of fluid from large joint	194	148	$198.66	$54.79
J1040 Injection, methylprednisolone acetate, 80 mg	190	128	$34.87	$10.97
99213 Established patient office or other outpatient visit, typically 15 minutes	156	143	$158.03	$57.38
73564 X-ray of knee, 4 or more views	81	64	$37.23	$10.20
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$160.91	$59.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$232.00	$85.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	33	$54.00	$19.87
73560 X-ray of knee, 1-2 views	47	43	$39.72	$7.61
73502 X-ray of hip, 2-3 views	47	32	$51.36	$10.06
27447 Replacement of knee joint, both sides of knee	40	38	$613.90	$178.29
73030 X-ray of shoulder, minimum of 2 views	36	28	$29.92	$8.56
73110 X-ray of wrist, minimum of 3 views	35	22	$41.20	$8.91
73610 X-ray of ankle, minimum of 3 views	21	11	$33.10	$7.19
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	19	16	$120.00	$19.07
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$223.00	$82.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$95.89	$31.98
73130 X-ray of hand, minimum of 3 views	17	11	$38.53	$8.17
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$602.00	$177.71
23120 Partial removal of collar bone	11	11	$256.00	$53.78

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50.001990

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

000000635079

Hospital & Practice Group Affiliations

Comprehensive Rehab Consultants Pllc

1010 Lincoln Hwy, Wapakoneta, OH 458959347

Phone: 4197383711

Practice Associates & Co-Workers

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

40 Associated Practitioners

Logan Rieman , CNP

Nurse Practitioner - Family

NPI 1003446170

Certified Nurse Practitioner

Bailey Nelson

Physician Assistant

NPI 1003685405

Dr. Mark Mcdonald , MD

Orthopaedic Surgery

NPI 1003896333

Doctor of Medicine (M.D.)

Dr. Kyle Shroll , PT, DPT

Physical Therapist

NPI 1013424597

Physical Therapist, Doctor of Physical Therapy

Dr. Sean Logan , MD

Neurological Surgery

NPI 1023124377

Doctor of Medicine (M.D.)

Tanner Stippich

Physician Assistant

NPI 1053924415

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2010

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

📍

Updated Business Mailing Address April 05, 2010

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044031 (Tel: 4192226622)

👤

Provider Name / Credentials Updated April 05, 2010

Recorded as TOBY TIPPIE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2010

Physician Assistant (License #50.001990 in OH)

🟢

Initial NPI Registration & Enumeration March 05, 2008

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: 1497925499

Entity Type:

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

Enumeration Date: March 05, 2008

Last Update: April 05, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Medical Dr, Suite A

Lima, OH 458044031

Phone: 4192226622

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.