DR. LISA RENE' HYNES (M.D.) – Dermatology Physician, NPI 1083661474
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $507 |
| Sun Pharmaceutical Industries Inc. | $132 |
| Janssen Biotech, Inc. | $131 |
| Lilly USA, LLC | $89 |
| Arcutis Biotherapeutics, Inc. | $83 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050531000136 | I | Dermatology | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,808 | 416 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,033 | 714 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 716 | 519 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 214 | 179 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 138 | 105 | $0 |
Insurance plans in this area (ZIP 85340)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AZ | 17003 | Destruction of 2-14 skin growths | 2605 | 379 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| - | AZ | |
| Nurse Practitioner | TX | |
| - | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | TX |
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