Sidney Tippin, MPAS, PA-C
NPI 1750129185ActiveIndividual· Physician Assistant· Edmond, OK
Physician Assistant (MPAS, PA-C) with Medical Resource Management LLC, practicing in Edmond, Oklahoma. Mostly services rather than prescriptions: Medicare paid $2,493 for 33 patients in 2024, with only 31 Part D claims.
Overview
| NPI | 1750129185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Jul 18, 2024 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA19119 | TX |
| Physician Assistant | 363A00000X | 11130 | AZ |
| Physician Assistant | 363A00000X | 5390 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (OK); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 148 across 11 procedure codes |
| Paid by Medicare | $2,493 |
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 31 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $406.57 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Medical Resource Management LLCNewcastle, OK · 52 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 85 physician assistants in Edmond · All physician assistants in Oklahoma