DR. NADINE STACY-MARIE LYSEIGHT (M.D.) – Obstetrics & Gynecology Physician, NPI 1790785046
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. NADINE STACY-MARIE LYSEIGHT (M.D.)
3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States
ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
Highland Avenue, Carver Heights, Spartanburg, Spartanburg County, South Carolina, 29306, United States
HIGHLAND, CA 923462764
Phone: (909) 864-4700
Fax: (909) 864-4300
Type: Location
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 923768071
Phone: (909) 787-1987
Fax: (877) 553-0133
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Dexcom, Inc. ($50).
Total Amount
$251
General + Research + Ownership
Payments
12
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $50 |
| Merck Sharp & Dohme LLC | $44 |
| Organon LLC | $30 |
| Astellas Pharma US Inc | $30 |
| Hologic Sales and Service, LLC | $22 |
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: 2005-06-20
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 |
|---|---|---|---|---|
| I20050620001133 | I | Obstetrics/Gynecology | 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 95670)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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