NPI registry status
Active
2026 NPPES data Electrodiagnostic Medicine Physician NPI 1518256767 M.D.
Verify on CMS → Ross Lipton, M.D.
Electrodiagnostic Medicine Physician in Port Jefferson, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 98 in Electrodiagnostic Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 110 beneficiaries · Electrodiagnostic Medicine Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$994.46
51 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ross Lipton, M.D. filed 1,943 Medicare Part D claims in 2024 as an Electrodiagnostic Medicine Physician in Port Jefferson, New York, prescribing 83% generic.
- 2K
- Part D claims, 2024
- 83%
- generic prescribing
- $994.46
- industry payments (Sunshine Act)
- ≥83rd
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Ross Lipton, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1518256767), first enumerated 03/28/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,943 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$994.46 in reported industry payments (51 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Ross Lipton, M.D.'s individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1518256767 · Electrodiagnostic Medicine Physician
NPI-10 · ENUM-MID · TAX-TRACE · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1518256767
- ENUM-MID 2011
- TAX-TRACE 98
- RX-MID 1,943
- BOOK-THIN 4 in New York
- PHOTO-ENUM Cabe Owens, M.D., PH… · 2011
Ross Lipton, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,943 ≥ 83rd percentile 83% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
Ross Lipton, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ross Lipton, M.D.?
Quality data not reportedPrimary specialty
Electrodiagnostic Medicine Physician
Medicare Part D claims
1,943 65% vs specialty avg
Specialty distribution in New York
How Electrodiagnostic Medicine Physician compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Electrodiagnostic Medicine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1518256767 |
|---|---|
| Specialty | Electrodiagnostic Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/28/2011 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Ross Lipton, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$994
Largest payer
Lundbeck LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Ross Lipton, M.D.. To verify Ross Lipton, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Ross Lipton, M.D. - brand share 17.0%
Electrodiagnostic Medicine Physician average
17% brand-name claims vs 83% generic, on 1,943 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,943
Total Claims
$313K
Total Drug Cost
110
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,067.833
- Total Day Supply
- 55,930
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $238K
- Generic Drug Cost
- $76K
- Opioid Claims
- 605 (31.1% rate)
Patient Demographics
- Average Patient Age
- 63.0 years
- Avg HCC Risk Score
- 1.82
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 49, 65-74: 44, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ross Lipton, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
257 claims
- Gabapentin
Gabapentin
164 claims
- Baclofen
Baclofen
131 claims
- Lidocaine 79
Lidocaine
79 claims
- Pregabalin 76
Pregabalin
76 claims
- Tizanidine Hcl 74
Tizanidine Hcl
74 claims
- Oxycodone-Acetamin… 72
Oxycodone-Acetaminophen
72 claims
- Hydromorphone Hcl 62
Hydromorphone Hcl
62 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 257 |
| Gabapentin | 164 |
| Baclofen | 131 |
| Lidocaine | 79 |
| Pregabalin | 76 |
| Tizanidine Hcl | 74 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 72 |
| Hydromorphone Hcl | 62 |
| Zolpidem Tartrate | 53 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 50 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Electrodiagnostic Medicine Physician Overview
How Ross Lipton, M.D. fits within the Electrodiagnostic Medicine Physician landscape nationally.
98
Electrodiagnostic Medicine Physician Providers in US
29
States with Electrodiagnostic Medicine Physician
1,178
Avg Claims per Provider
Ross Lipton, M.D.'s 1,943 claims are above the specialty average of 1,178.
Nationwide Electrodiagnostic Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Lipton, both outside New York so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Electrodiagnostic Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Lipton.
One of 4 Electrodiagnostic Medicine Physician providers enrolled in New York, 3 are shown here.
Dr. Jonathan Kirschner
MD
New York, NY
Dr. Christoforos Koumas
MD
Yorktown Heights, NY
Jayne Sowulewski
CNIM
Hauppauge, NY
Compare Electrodiagnostic Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ross Lipton, M.D.'s specialty? ▼
Ross Lipton, M.D. specializes in Electrodiagnostic Medicine Physician and practices in Port Jefferson, New York. Credentials: M.D..
How much does Ross Lipton, M.D. prescribe under Medicare Part D? ▼
In 2024, Ross Lipton, M.D. wrote 1,943 Medicare Part D claims totaling $313K in drug costs for 110 beneficiaries.
Where is Ross Lipton, M.D. located? ▼
Ross Lipton, M.D. is located at 635 BELLE TERRE RD STE 209, Port Jefferson, NY, 11777. Phone: (631) 474-0707.
What is Ross Lipton, M.D.'s NPI number? ▼
Ross Lipton, M.D.'s National Provider Identifier (NPI) is 1518256767, issued on 03/28/2011.
Does Ross Lipton, M.D. prescribe more brand-name or generic drugs? ▼
Ross Lipton, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $238K in brand drug costs.
Does Ross Lipton, M.D. prescribe opioids? ▼
Yes, Ross Lipton, M.D. had 605 opioid claims in 2024 with an opioid prescribing rate of 31.1%.
How many Electrodiagnostic Medicine Physician providers are there in the US? ▼
There are 98 Electrodiagnostic Medicine Physician providers across 29 states in the US. The average Electrodiagnostic Medicine Physician provider writes 1,178 Medicare Part D claims per year.
What drugs does Ross Lipton, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ross Lipton, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ross Lipton, M.D. accept Medicare? ▼
Ross Lipton, M.D. appears in CMS Medicare data with 1,943 Part D claims and 110 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ross Lipton, M.D.'s credentials? ▼
Ross Lipton, M.D.'s NPI is 1518256767 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.