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Mary D. Tipton, MD

NPI 1922065598ActiveIndividual· Pediatrics· West Jordan, UT

Opted out of Medicare from April 2024 to April 2028. Pediatrics (MD) in West Jordan, Utah, licensed in UT, with an NPI issued in April 2006. Their prescriptions cost Medicare Part D more than their services did: $305,656 for 1,945 claims, against $2,802 paid for services in 2024. Azurity Pharmaceuticals, Inc. reported $15.24 in payments in 2025, mostly food and beverage.

Overview

NPI1922065598
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 27, 2006
Last updated in NPPESMay 31, 2026
Certified by providerMay 31, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X5934303-1205UT
Internal Medicine207R00000X5934303-1205UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 11, 2024 – Apr 11, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients21
Services billed47 across 11 procedure codes
Paid by Medicare$2,802

Part D prescriptions in 2024

Prescriptions (claims)1,945 · 5,265 30-day fills
Patients154
Total drug cost$305,656
Generic share81% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$15.24 · 1 payment from 1 company
  • 2024$143.58 · 8 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Azurity Pharmaceuticals, Inc.$15.241

What the 2025 payments were for

  • Food and Beverage$15.24 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pediatricians in West Jordan

All 23 pediatricians in West Jordan · All pediatricians in Utah