DR. LISA MARIE EDGERTON (D.O.) – Hospitalist Physician, NPI 1093816266
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,491 HOSPITALIST in FL
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Provider Addresses for DR. LISA MARIE EDGERTON (D.O.)
114, Northeast 107th Street, Miami Shores, Miami-Dade County, Florida, 33161, United States
MIAMI SHORES, FL 331617032
Phone: (786) 390-8684
Fax: (305) 654-5270
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 9 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: UCB, Inc. ($27).
Total Amount
$148
General + Research + Ownership
Payments
9
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $27 |
| Janssen Pharmaceuticals, Inc | $18 |
| PFIZER INC. | $17 |
| Merck Sharp & Dohme LLC | $16 |
| La Jolla Pharmaceutical Company | $15 |
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: 2005-12-12
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 |
|---|---|---|---|---|
| I20051212000318 | I | Hospitalist | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 182 | 90 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 128 | 121 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 91 | 83 | $0 |
| 99497 | Advance care planning, first 30 minutes | 80 | 76 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 67 | 44 | $0 |
Insurance plans in this area (ZIP 33161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Internal Medicine | NY | |
| Emergency Medicine, Hospitalist, Emergency Medicine, Internal Medicine | MI | |
| Hospitalist, Internal Medicine | MI | |
| Hospitalist, Internal Medicine | MI | |
| H O S P I T A L I S T | MI | |
| Internal Medicine | MI | |
| Internal Medicine, Nephrology, Internal Medicine | TX | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI |
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