LISA T CHADWICK (M.D.) – Family Medicine Physician, NPI 1790765782

LISA T CHADWICK (M.D.) is a healthcare provider. based in Willimantic, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 79428 (CT). The NPI Number for LISA T CHADWICK (M.D.) is 1790765782

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA T CHADWICK (M.D.)
NPI
1790765782
Phone
(860) 450-7471
Address
40 MANSFIELD AVE
Enumeration Date
18 January 2006
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8604507471
Graduation Year
2000 (26 years ago)
PAC ID
4981679271
Group Practice PAC ID
4880640630
Professional Enrollment ID
I20250314001946
Address ID
CT062262018WI40XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for LISA T CHADWICK (M.D.)

  • 40 MANSFIELD AVE

    WILLIMANTIC, CT 062262018

    Phone: (860) 450-7471

    Type: Mailing

  • Ridgeview Circle, Middle Smithfield Township, Monroe County, Pennsylvania, 18302, United States

    SMITHFIELD, PA 154781650

    Phone: (724) 569-8100

    Fax: (724) 569-8368

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 270 Open Payments records for all available years, with a total value of $3,946.

Total Amount is formed as General ($3,946) + Research ($0) + Ownership ($0) = $3,946.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($861).

Total Amount

$3,946

General + Research + Ownership

Payments

270

Total payment records

General Amount

$3,946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-03-14

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
I20250314001946IFamily PracticeCTTBD

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 minutes192116$0
G0444Annual depression screening, 5 to 15 minutes6565$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6464$0
99213Established patient office or other outpatient visit, 20-29 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 06226)

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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: 4880640630View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for LISA T CHADWICK (M.D.)?
LISA T CHADWICK (M.D.) — NPI 1790765782 — is the standard way to identify this listing.
Can I rely on LISA T CHADWICK (M.D.) being an active provider?
As of the registry snapshot, LISA T CHADWICK (M.D.) is marked active.
What taxonomy line describes LISA T CHADWICK (M.D.)?
For research purposes, treat LISA T CHADWICK (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does LISA T CHADWICK (M.D.) list a practice location?
Patients near Willimantic, Connecticut may find LISA T CHADWICK (M.D.) in results; validate coverage separately.
Why does LISA T CHADWICK (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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