Dr. Paul G Sipe , MD
Surgery • York, PA
1601 S Queen St
York, PA 174034630
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 August 4, 2006; this date does not establish years in practice.
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Published CMS data list 73 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 24 service units.
- 99204 — New patient outpatient office visit: 17 service units.
- 45300 — Diagnostic exam of rectum and lower large bowel using an endoscope: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 34 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl — 34 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Surgery in York, PA (2024, 19 clinicians with data). Median for this group: 203. Middle half: 61 to 306.
Fewer Medicare Part B services than 80% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: 190. Middle half: 97 to 331.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 426 in 2020 to 73 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1601 S Queen St
York, PA 174034630
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
94 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 – by Provider, 2024.
Medicare-allowed amount
About $8,715 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 – by Provider and Service, 2024.
Paid by Medicare
About $5,451 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 – by Provider and Service, 2024.
30-day fills
34 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
$64 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in York and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Surgery in York, PA (2024, 19 clinicians with data). Median for this group: 203. Middle half: 61 to 306.
Fewer Medicare Part B services than 80% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: 190. Middle half: 97 to 331.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Surgery in York, PA (2024, 19 clinicians with data). Median for this group: $25,379. Middle half: $7,376 to $51,548.
A lower Medicare-allowed amount than 75% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: $24,514. Middle half: $11,290 to $45,129.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Surgery in York, PA (2024, 19 clinicians with data). Median for this group: $19,684. Middle half: $5,018 to $42,364.
A lower Medicare payment amount than 80% of clinicians listed under Surgery in Pennsylvania (2024, 813 clinicians with data). Median for this group: $18,735. Middle half: $8,416 to $35,373.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Surgery in York, PA (2024, 24 clinicians with data). Median for this group: 40. Middle half: 19 to 70.
Close to the middle for clinicians listed under Surgery in Pennsylvania (2024, 667 clinicians with data). Median for this group: 47. Middle half: 21 to 102.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Surgery in York, PA (2024, 24 clinicians with data). Median for this group: $107. Middle half: $39 to $834.
A lower Part D drug cost than 75% of clinicians listed under Surgery in Pennsylvania (2024, 667 clinicians with data). Median for this group: $283. Middle half: $68 to $1,463.
73 active clinicians are listed under Surgery with a practice address in York, PA (1,872 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in York
6.8% of these 73 clinicians have the CMS telehealth indicator.
26% of these 73 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 decreased 83% from 426 in 2020 to 73 in 2024.
- 2020: 426
- 2021: 496
- 2022: 431
- 2023: 391
- 2024: 73
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Medicare-allowed amount
Medicare-allowed amount decreased 76% from $36,137 in 2020 to $8,715 in 2024.
- 2020: $36,137
- 2021: $57,759
- 2022: $43,850
- 2023: $49,244
- 2024: $8,715
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Paid by Medicare
Paid by Medicare decreased 80% from $26,661 in 2020 to $5,451 in 2024.
- 2020: $26,661
- 2021: $43,946
- 2022: $31,946
- 2023: $36,636
- 2024: $5,451
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 62% from 89 in 2020 to 34 in 2024.
- 2020: 89
- 2021: 80
- 2022: 87
- 2023: 90
- 2024: 34
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30-day fills
30-day fills decreased 62% from 89 in 2020 to 34 in 2024.
- 2020: 89
- 2021: 80
- 2022: 87
- 2023: 90
- 2024: 34
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Part D drug cost
Part D drug cost went from $484 in 2020 to $64 in 2024.
- 2020: $484
- 2021: $324
- 2022: $389
- 2023: $254
- 2024: $64
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 · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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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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24 | 22 | $183.00 | $121.06 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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17 | 17 | $281.00 | $150.04 |
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45300
Diagnostic exam of rectum and lower large bowel using an endoscope
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16 | 16 | $306.00 | $118.35 |
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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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16 | 16 | $124.00 | $85.32 |
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 |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 34 | 71 | $63.84 | 33 |
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
NUCC Taxonomy Code: 208600000X
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.
NUCC Taxonomy Code: 208C00000X
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Colon & Rectal Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Surgery
Doctor of Medicine (M.D.)
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Surgery - Surgical Critical Care
Doctor of Osteopathic Medicine (D.O.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 04, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery Specialists in York
- Dr. Diane Shih-Della Penna, MD
- Dr. David Winand, MD
- Dr. John Castronuovo, MD
- Dr. Brone Lobichusky, MD
- Dr. Ruben Neris, MD
- Dr. Daniele Haupt, MD
Mailing Address
3421 Concord Rd
York, PA 174029001
Phone: 7178127500