Medicare Enrolled
Dr. Zachary Lipman, MD
Optician · Chico, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Lipman from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Lipman
Dr. Zachary Lipman is an optician specialist in Chico, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lipman performed 50,754 Medicare services across 7,758 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lipman received a total of $33,325 from 49 pharmaceutical and/or device companies across 947 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Lipman is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 2% volume in CA
$33,325 industry payments
Medicare Practice Summary
Medicare Utilization ↗50,754
Medicare services
Top 2% in CA for optician
7,758
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,671 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
19,470 | $57 | $142 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
9,821 | $32 | $80 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
3,282 | $40 | $99 |
| Behavioral health care management, 20+ minutes This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time. |
3,262 | $35 | $87 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
3,247 | $107 | $269 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
3,234 | $42 | $105 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,194 | $101 | $258 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
914 | $23 | $250 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
754 | $0 | $31 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
707 | $107 | $270 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
670 | $97 | $261 |
| Psychological test evaluation, first hour A healthcare professional evaluates the results of psychological testing during an initial one-hour session. |
663 | $81 | $240 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
656 | $29 | $72 |
| Substance misuse assessment and brief intervention A structured assessment of alcohol or substance misuse combined with a brief intervention lasting 15 to 30 minutes. |
571 | $23 | $70 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
312 | $10 | $26 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
312 | $71 | $183 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
282 | $126 | $313 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
190 | $128 | $335 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
144 | $1 | $20 |
| Annual depression screening | 141 | $19 | $38 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
123 | $50 | $70 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
110 | $248 | $3,224 |
| Remote therapeutic monitoring, additional 20 minutes This service covers the physician's time for managing remote therapeutic monitoring data beyond the initial monthly allotment. It applies for each additional 20-minute increment used within a calendar month. |
76 | $31 | $80 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
49 | $147 | $1,346 |
| Remote therapeutic monitoring, first 20 minutes Physician management of remote therapeutic monitoring data for the first 20 minutes per calendar month. |
48 | $39 | $100 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
44 | $36 | $170 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
44 | $117 | $403 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
42 | $66 | $217 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
41 | $220 | $816 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 37 | $335 | $1,566 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
34 | $207 | $781 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
33 | $46 | $195 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
27 | $68 | $355 |
| Musculoskeletal remote monitoring device supply, 30 days A device supply that records and transmits data for remote monitoring of the musculoskeletal system over a 30-day period. |
26 | $41 | $105 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
22 | $78 | $458 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
21 | $78 | $191 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
21 | $209 | $365 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
20 | $106 | $186 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
19 | $217 | $539 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
18 | $75 | $402 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
18 | $49 | $120 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
15 | $178 | $697 |
| Remote therapy monitoring setup and education This service involves setting up equipment and providing patient education for the remote monitoring of therapy. |
14 | $15 | $40 |
| Pelvic joint fusion with imaging guidance A surgical procedure to join bones in the pelvic joint together. Imaging technology is used to guide the surgeon during the operation. |
13 | $556 | $2,848 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
13 | $230 | $512 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$33,325
Total received (2018-2024)
Avg $4,761/year across 7 years
Top 7% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
947
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$30,958 (92.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,367 (7.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,787
2023
$4,891
2022
$9,162
2021
$5,093
2020
$3,647
2019
$3,982
2018
$1,763
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,207
PAINTEQ LLC
$1,098
SI-BONE, INC.
$832
Curonix LLC
$545
Boston Scientific Corporation
$499
Nalu Medical, Inc.
$459
Saluda Medical Americas, Inc.
$56
Vertos Medical, Inc.
$27
Collegium Pharmaceutical, Inc.
$25
PFIZER INC.
$23
Medtronic, Inc.
$16
Top 3 companies account for 65.5% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$11,534
PAINTEQ LLC
$6,501
Spinal Simplicity, LLC
$2,972
Medtronic, Inc.
$2,070
Boston Scientific Corporation
$1,912
Vertos Medical, Inc.
$1,508
Relievant Medsystems, Inc.
$1,480
SI-BONE, INC.
$832
Curonix LLC
$545
Nalu Medical, Inc.
$483
Teva Pharmaceuticals USA, Inc.
$478
Nevro Corp.
$308
PFIZER INC.
$291
Allergan Inc.
$272
Daiichi Sankyo Inc.
$226
Foundation Fusion Solutions, LLC
$192
Collegium Pharmaceutical, Inc.
$191
Medtronic USA, Inc.
$178
Allergan, Inc.
$117
TerSera Therapeutics LLC
$113
Stimwave Technologies Incorporated
$98
Saluda Medical Americas, Inc.
$87
BOSTON SCIENTIFIC CORPORATION
$80
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$78
ASSERTIO THERAPEUTICS, Inc.
$71
Novartis Pharmaceuticals Corporation
$60
ABBVIE INC.
$53
BioDelivery Sciences International, Inc.
$48
STEELHEAD SURGICAL INC
$45
ARBOR PHARMACEUTICALS, INC.
$39
Siemens Medical Solutions USA, Inc.
$37
AbbVie Inc.
$36
Assertio Therapeutics, Inc.
$35
Lilly USA, LLC
$35
US WorldMeds, LLC
$34
Merz North America, Inc.
$33
Amgen Inc.
$31
Purdue Pharma L.P.
$29
Medtronic Vascular, Inc.
$29
Lundbeck LLC
$28
Baudax Bio Inc.
$24
Pernix Therapeutics Holdings, Inc.
$17
Indivior Inc.
$16
SCILEX PHARMACEUTICALS INC.
$15
Vertiflex, Inc.
$14
DePuy Synthes Sales Inc.
$13
Saol Therapeutics Inc.
$13
Sight Sciences, Inc.
$12
Stryker Corporation
$11
Top 3 companies account for 63.0% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · ANJESO · ASCENDA · AUSTEDO · AXIUM · Aimovig · Axium INS DRG IPG · Axium Sheath Braided DRG · BELBUCA · BOTOX · BOTOX COSMETIC · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · COLOGUARD · ClosureFast · EMGALITY · ETERNA · Evoke · Evoke SCS · Fixate · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Therapies · Gralise · HA MINUTEMAN G3-R · HAWKONE · Horizant · IFUSE IMPLANT SYSTEM · INTELLIS · INTELLIS ADAPTIVESTIM · IONICRF · IVS - MULTIGEN 2RF · Infinion 16 · Infinion 16 · Intracept · IonicRF Generator · LINEAR · LYRICA · Lioresal (baclofen) · Lucemyra/Lofexidine · Morphabond ER · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · OMNI(R) SURGICAL SYSTEM (US) · ORTHOVISC · Octrode SCS Leads · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Penta SCS Leads · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · RESTORE · REYVOW · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SUBLOCADE · SWIFT-LOCK · SYMPROIC · SYNCHROMED · Senza Spinal Cord Stimulation System · Superion ISS · Swift-Lock SCS · Syva Rapids Reagents/Test Kit/Clinical Utilization · UBRELVY · UNIFY ASSURA · Unify Assura CRT Defibrillator · V-LOC 180 · VANTA ADAPTIVESTIM · VYEPTI · WaveWriter Alpha Prime 16 · XEOMIN · XTAMPZA · XTAMPZAER · Xtampza ER · ZOHYDRO ER · ZTLido · Zipsor · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for optician in CA.
Geographic Context
Opticians within 10 mi
38
Per 100K population
18.1
County median income
$68,574
Nearest hospital
ENLOE HEALTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Lipman is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 7% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Lipman experienced with additional chronic care management time, 60 minutes?
Based on Medicare claims data, Dr. Lipman performed 19,470 additional chronic care management time, 60 minutes services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Lipman receive payments from pharmaceutical companies?
Yes. Dr. Lipman received a total of $33,325 from 49 companies across 947 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Lipman's costs compare to other opticians in Chico?
Dr. Lipman's average Medicare payment per service is $54. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Lipman) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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