DR. LISA KOHORN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1720097066
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. LISA KOHORN (M.D.)
5856, Corporate Avenue, Cypress, Orange County, California, 90630, United States
SUITE 200
CYPRESS, CA 906304754
Phone: (714) 229-7619
Type: Mailing
Saint Joseph Hospital, 1100, West Stewart Drive, Orange, Orange County, California, 92868, United States
SJH-DEPT. OF PATHOLOGY
ORANGE, CA 928683849
Phone: (714) 771-8176
Type: Location
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: 2004-03-25
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 |
|---|---|---|---|---|
| I20040325000246 | I | Pathology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90630)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | CA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 112 | 105 |
| PATHOLOGY | CA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 117 | 62 |
| PATHOLOGY | CA | 88342 | Tissue or cell analysis by immunologic technique | 98 | 81 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| - | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| - | CA | |
| P A T H O L O G Y | CA | |
| - | CA |
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