DR. JEROME P LISK (MD, MBA) – Neurology Physician, NPI 1821036500

DR. JEROME P LISK (MD, MBA) is a healthcare provider. based in Brawley, California. specializing in NEUROLOGY. They hold the professional credentials MD, MBA. They hold a License No. R1074 (TX). The NPI Number for DR. JEROME P LISK (MD, MBA) is 1821036500

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEROME P LISK (MD, MBA)
NPI
1821036500
Phone
(760) 618-9285
Address
4231 US Highway 86
Enumeration Date
3 June 2006
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
9403831770
Graduation Year
1998 (28 years ago)
PAC ID
4082667159
Professional Enrollment ID
I20170109001582
Address ID
TX762106868DE3537X35XX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

2,479 NEUROLOGY in CA

Provider Addresses for DR. JEROME P LISK (MD, MBA)

  • 4231 US Highway 86

    Brawley, CA 922279647

    Phone: (760) 618-9285

    Type: Location

  • 15243 Vanowen St Ste 205

    Van Nuys, CA 914053640

    Phone: (760) 618-9285

    Type: Location

  • 801 E Birch St Ste 5

    Calexico, CA 922315925

    Phone: (760) 618-9285

    Type: Location

  • 3120 MEDPARK DR STE 100

    DENTON, TX 762086982

    Phone: (940) 383-1770

    Fax: (877) 319-1848

    Type: Mailing

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States of America

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • 910, East Houston Street, Tyler, Smith County, Texas, 75702, United States

    STE 330

    TYLER, TX 757028369

    Phone: (903) 525-7995

    Fax: (903) 525-1750

    Type: Location

  • 3537 S I 35 E STE 112

    DENTON, TX 762106868

    Phone: (940) 383-1770

    Fax: (833) 992-0840

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $40,361.

Total Amount is formed as General ($40,361) + Research ($0) + Ownership ($0) = $40,361.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($33,897).

Total Amount

$40,361

General + Research + Ownership

Payments

157

Total payment records

General Amount

$40,361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080205000358INeurologyCATBD
I20170109001582INeurologyTXTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes470211$0
99214Established patient office or other outpatient visit, 30-39 minutes342178$0
95930Measurement of nerve conduction using visual stimulation testing with report176169$0
95816Measurement of brain wave activity (eeg), awake and drowsy176169$0
95957Measurement of brain wave activity (eeg), digital analysis176169$0
View full utilization report →

Insurance plans in this area (ZIP 92227)

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Reviews

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Frequently asked questions

How do I look up DR. JEROME P LISK (MD, MBA) by NPI?
Use NPI 1821036500 when you need to reference DR. JEROME P LISK (MD, MBA) in forms, claims, or directories.
Is DR. JEROME P LISK (MD, MBA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JEROME P LISK (MD, MBA)'s specialty in plain language?
Clinically, the directory lists DR. JEROME P LISK (MD, MBA) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEROME P LISK (MD, MBA) practice in California?
You will see Brawley, California on file for DR. JEROME P LISK (MD, MBA) alongside any extra practice locations.
What if Brawley, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.