DR. LISA L THOMSEN (M.D.) – Specialist, NPI 1174586960
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. LISA L THOMSEN (M.D.)
210 S GRAND AVE STE 400
GLENDORA, CA 917414279
Phone: (626) 963-4149
Type: Location
210, South Grand Avenue, Glendora, Los Angeles County, California, 91741, United States
SUITE 302
GLENDORA, CA 917414205
Phone: (626) 963-4149
Fax: (626) 936-9023
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-04-17
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 |
|---|---|---|---|---|
| I20120417000148 | I | Family Practice | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 297 | 213 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 293 | 293 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 280 | 171 | $0 |
| 99497 | Advance care planning, first 30 minutes | 273 | 272 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 183 | 126 | $0 |
Insurance plans in this area (ZIP 91741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | MD | |
| Family Practice | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Family Practice, General Practice | CA | |
| P O D I A T R Y | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
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