DR. LISA ROSS DIXON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124073176

DR. LISA ROSS DIXON (MD) is a healthcare provider. based in Gainesville, Florida. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. ME90083 (FL). The NPI Number for DR. LISA ROSS DIXON (MD) is 1124073176

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ROSS DIXON (MD)
NPI
1124073176
Phone
(352) 331-8902
Address
6400 W. NEWBERRY ROAD
Enumeration Date
24 May 2006
Last Update Date
16 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
3523318902
Graduation Year
1999 (27 years ago)
PAC ID
6800871260
Group Practice PAC ID
2365425816
Professional Enrollment ID
I20040621000559
Address ID
FL326056609GA6400XRDXX416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. LISA ROSS DIXON (MD)

  • 6400 W. NEWBERRY ROAD

    SUITE 302

    GAINESVILLE, FL 32605

    Phone: (352) 331-8902

    Fax: (352) 224-1094

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328918025

    Phone:

    Type: Mailing

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0238

    Fax: (352) 265-0437

    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: 2004-06-21

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
I20040621000559IPathologyFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity4,1731,851$0
88313Special stained specimen slides to examine tissue including interpretation and report1,168781$0
88342Special stained specimen slides to examine tissue, initial procedure942687$0
View full utilization report →

Insurance plans in this area (ZIP 32605)

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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: 2365425816View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
Certified Registered Nurse Anesthetist (Crna)FL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

How do payers reference DR. LISA ROSS DIXON (MD)?
For DR. LISA ROSS DIXON (MD), use NPI 1124073176 as the unique 10-digit identifier.
Is there an active status for DR. LISA ROSS DIXON (MD)?
For scheduling context, DR. LISA ROSS DIXON (MD) is shown as active in the registry.
How would a patient describe DR. LISA ROSS DIXON (MD)'s focus?
For DR. LISA ROSS DIXON (MD), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LISA ROSS DIXON (MD)?
Travel planning: use Gainesville, Florida as the reference point for DR. LISA ROSS DIXON (MD), then confirm.
Does DR. LISA ROSS DIXON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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