DR. RALPH LISSAUR (M.D.) – Psychiatry Physician, NPI 1245287960

DR. RALPH LISSAUR (M.D.) is a healthcare provider. based in Irvine, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. A88975 (CA). The NPI Number for DR. RALPH LISSAUR (M.D.) is 1245287960

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RALPH LISSAUR (M.D.)
NPI
1245287960
Phone
(949) 280-9647
Address
14252 CULVER DR
Enumeration Date
28 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9099665500
Graduation Year
2003 (23 years ago)
PAC ID
1557318870
Group Practice PAC ID
6204148794
Professional Enrollment ID
I20050407000879
Address ID
CA924045571SA2131XDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

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Provider Addresses for DR. RALPH LISSAUR (M.D.)

  • Togo's, 14252, Culver Drive, El Camino Real, Irvine, Orange County, California, 92604, United States

    A-255

    IRVINE, CA 926040317

    Phone: (949) 280-9647

    Fax: (949) 581-0911

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $2,125.

Total Amount is formed as General ($2,125) + Research ($0) + Ownership ($0) = $2,125.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($304).

Total Amount

$2,125

General + Research + Ownership

Payments

115

Total payment records

General Amount

$2,125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2005-04-07

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
I20050407000879IPsychiatryCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes42496$0
99215Established patient office or other outpatient visit, 40-54 minutes3624$0
90833Psychotherapy with evaluation and management visit, 30 minutes2512$0
90792Psychiatric diagnostic evaluation with medical services1616$0
View full utilization report →

Insurance plans in this area (ZIP 92604)

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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: 6204148794View full group profile
NameSpecialtyState
Clinical PsychologistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RALPH LISSAUR (M.D.)?
NPI 1245287960 is assigned to DR. RALPH LISSAUR (M.D.) under the national enumeration system.
Is DR. RALPH LISSAUR (M.D.) active in the national directory?
DR. RALPH LISSAUR (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. RALPH LISSAUR (M.D.)?
The page reflects Psychiatry Physician for DR. RALPH LISSAUR (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RALPH LISSAUR (M.D.)?
The page summarizes Irvine, California for DR. RALPH LISSAUR (M.D.); expand the address list for detail.
What if Irvine, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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