Martha Sipe , NP
Nurse Practitioner โข Lancaster, PA
233 College Ave Ste 201
Lancaster, PA 176033384
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 16, 2015; this date does not establish years in practice.
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Published CMS data list 567 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 262 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 85 service units.
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 67 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 338 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin โ 49 prescription fills, including refills.
- Doxycycline Hyclate โ 44 prescription fills, including refills.
- Vancomycin Hcl โ 41 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 44 clinicians with data). Median for this group: 296. Middle half: 151 to 517.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: 219. Middle half: 83 to 477.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 384 in 2020 to 567 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
233 College Ave Ste 201
Lancaster, PA 176033384
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Lancaster, PA; York, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Pinnacle Health Medical Services; Pinnacle Health Regional Physicians. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
231 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $41,057 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $32,515 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
379 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$72,134 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Martha Sipe has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Martha Sipe as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lancaster and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 44 clinicians with data). Median for this group: 296. Middle half: 151 to 517.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: 219. Middle half: 83 to 477.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 44 clinicians with data). Median for this group: $20,178. Middle half: $10,715 to $33,066.
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: $16,817. Middle half: $6,508 to $34,616.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 44 clinicians with data). Median for this group: $14,422. Middle half: $8,239 to $24,291.
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: $12,551. Middle half: $4,770 to $25,713.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 51 clinicians with data). Median for this group: 372. Middle half: 148 to 1,971.
Close to the middle for clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,916 clinicians with data). Median for this group: 436. Middle half: 111 to 1,584.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Lancaster, PA (2024, 51 clinicians with data). Median for this group: $17,716. Middle half: $6,213 to $113,827.
A higher Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,916 clinicians with data). Median for this group: $33,211. Middle half: $1,952 to $187,775.
84 active clinicians are listed under Nurse Practitioner with a practice address in Lancaster, PA (3,919 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lancaster
14.3% of these 84 clinicians have the CMS telehealth indicator.
60.7% of these 84 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 48% from 384 in 2020 to 567 in 2024.
- 2020: 384
- 2021: 508
- 2022: 669
- 2023: 627
- 2024: 567
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Medicare-allowed amount
Medicare-allowed amount increased 67% from $24,610 in 2020 to $41,057 in 2024.
- 2020: $24,610
- 2021: $29,079
- 2022: $40,222
- 2023: $40,765
- 2024: $41,057
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Paid by Medicare
Paid by Medicare increased 67% from $19,510 in 2020 to $32,515 in 2024.
- 2020: $19,510
- 2021: $23,207
- 2022: $31,901
- 2023: $32,407
- 2024: $32,515
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 333% from 78 in 2020 to 338 in 2024.
- 2020: 78
- 2021: 24
- 2022: 102
- 2023: 135
- 2024: 338
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30-day fills
30-day fills increased 386% from 78 in 2020 to 379 in 2024.
- 2020: 78
- 2021: 24
- 2022: 102
- 2023: 148
- 2024: 379
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Part D drug cost
Part D drug cost increased 1542% from $4,394 in 2020 to $72,134 in 2024.
- 2020: $4,394
- 2021: $2,803
- 2022: $12,294
- 2023: $19,352
- 2024: $72,134
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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262 | 110 | $168.00 | $63.12 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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85 | 83 | $359.15 | $104.17 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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67 | 29 | $87.00 | $39.76 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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37 | 31 | $178.00 | $72.96 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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31 | 30 | $393.00 | $139.10 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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30 | 20 | $113.00 | $44.78 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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25 | 24 | $251.00 | $100.82 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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17 | 17 | $158.00 | $56.72 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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13 | 11 | $218.00 | $89.35 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 49 | 1,849 | $557.89 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 44 | 1,515 | $1,201.05 | 19 |
| Vancomycin Hcl | Vancomycin Hcl | 41 | 157 | $6,584.70 | โ |
| Levofloxacin | Levofloxacin | 25 | 530 | $347.55 | 17 |
| Amoxicillin | Amoxicillin | 22 | 674 | $140.64 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | 617 | $37.97 | โ |
| Daptomycin | Daptomycin | 20 | 110 | $5,343.22 | โ |
| Ceftriaxone | Ceftriaxone Sodium | 18 | 111 | $777.99 | โ |
| Cefepime Hcl | Cefepime Hcl | 18 | 106 | $3,699.69 | โ |
| Ampicillin Sodium | Ampicillin Sodium | 17 | 23 | $3,000.42 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 273 | $132.41 | 13 |
| Methenamine Hippurate | Methenamine Hippurate | 14 | 690 | $1,068.81 | โ |
| Meropenem | Meropenem | 13 | 45 | $976.88 | โ |
| Tivicay | Dolutegravir Sodium | 11 | 330 | $24,430.67 | โ |
| Descovy | Emtricitabine/Tenofov Alafenam | 11 | 330 | $23,833.92 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-05-13NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190506000108
PA
1557664133
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Pinnacle Health Medical Services
810 Sir Thomas Ct, Harrisburg, PA 171094839
Phone: 7176144420
Pinnacle Health Regional Physicians
233 College Ave, Lancaster, PA 176033372
Phone: 7172916752
Secondary Practice Locations
510 Greenbriar Rd
York, PA 174041335
Phone: 7172916752
233 College Ave Ste 301
Lancaster, PA 176033372
Phone: 7172916752
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Nephrology
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 233 COLLEGE AVE STE 201, LANCASTER, PA 176033384 (Tel: 7172916752)
Registered at 233 COLLEGE AVE STE 201, LANCASTER, PA 176033384 (Tel: 7172916752)
Nurse Practitioner (license number reported to NPPES: PA SP018801)
Registered at 810 SIR THOMAS CT STE 101, HARRISBURG, PA 171094839 (Tel: 7176144420)
Nurse Practitioner (license number reported to NPPES: PA SP018801)
NPI status registered as active in NPPES database
Registered at 2140 PEACHTREE RD NW STE 232, ATLANTA, GA 303091316 (Tel: 4042314431)
Registered at 131 W SOUTH ST, CARLISLE, PA 170133434 (Tel: 7174603950)
Recorded as MARTHA SIPE, NP
Nurse Practitioner (license number reported to NPPES: GA RN252571)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Lancaster
- Danielle Sweigart, CRNP
- Ross Romanoski, CRNP
- Joanne Ecenrode, CRNP
- Jane Miller, CRNP
- Leann Martin, CRNP
- Staci Johnston, CRNP
Mailing Address
233 College Ave Ste 201
Lancaster, PA 176033384
Phone: 7172916752