DR. LISA RENE' HYNES (M.D.) – Dermatology Physician, NPI 1083661474

DR. LISA RENE' HYNES (M.D.) is a healthcare provider. based in Litchfield park, Arizona. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 26202 (AZ). The NPI Number for DR. LISA RENE' HYNES (M.D.) is 1083661474

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA RENE' HYNES (M.D.)
NPI
1083661474
Phone
(623) 872-0464
Address
13613 W MEDLOCK DR
Enumeration Date
30 May 2006
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6234873003
Graduation Year
1993 (33 years ago)
PAC ID
1254373327
Group Practice PAC ID
9830181361
Professional Enrollment ID
I20050531000136
Address ID
AZ853925966AV10750RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

367 DERMATOLOGY in AZ

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Provider Addresses for DR. LISA RENE' HYNES (M.D.)

  • 13613 W MEDLOCK DR

    LITCHFIELD PARK, AZ 853404052

    Phone: (623) 872-0464

    Fax: (623) 889-2513

    Type: Mailing

  • 7300 RANCH ROAD 2222, BUILDING 1, STE 200

    AUSTIN, TX 78730

    Phone: (512) 628-0465

    Type: Mailing

  • West McDowell Road, Avondale, Maricopa County, Arizona, 85037, United States

    BLDG. D STE. 400

    AVONDALE, AZ 853235960

    Phone: (623) 889-2516

    Fax: (623) 889-2513

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $1,471.

Total Amount is formed as General ($1,471) + Research ($0) + Ownership ($0) = $1,471.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($507).

Total Amount

$1,471

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,471

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050531000136IDermatologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,808416$0
99213Established patient office or other outpatient visit, 20-29 minutes1,033714$0
17000Destruction of precancer skin growth, 1 growth716519$0
11102Biopsy of related skin growth, first growth214179$0
17004Destruction of precancer skin growth, 15 or more growths138105$0
View full utilization report →

Insurance plans in this area (ZIP 85340)

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Provider's Procedures

DR. LISA RENE' HYNES (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAZ17003Destruction of 2-14 skin growths2605379

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830181361View full group profile
NameSpecialtyState
Physician AssistantAZ
-AZ
Nurse PractitionerTX
-AZ
Physician AssistantAZ
D E R M A T O L O G YAZ
D E R M A T O L O G YAZ
Physician AssistantTX
D E R M A T O L O G YAZ
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LISA RENE' HYNES (M.D.)'s NPI?
Yes. DR. LISA RENE' HYNES (M.D.) is listed with NPI 1083661474 in the public NPI dataset.
Does the file indicate DR. LISA RENE' HYNES (M.D.) is practicing under active NPI?
Directory data currently reports DR. LISA RENE' HYNES (M.D.) as active.
What is DR. LISA RENE' HYNES (M.D.)'s specialty?
The listing groups DR. LISA RENE' HYNES (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. LISA RENE' HYNES (M.D.) serve?
DR. LISA RENE' HYNES (M.D.)'s listing highlights Litchfield Park, Arizona; more addresses can appear in NPPES.
Why does DR. LISA RENE' HYNES (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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