LISA ZACK (M.D.) – Dermatopathology Physician, NPI 1467458984
Dermatopathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for LISA ZACK (M.D.)
801, Anchor Rode Drive, Naples, Collier County, Florida, 34103, United States
STE 100
NAPLES, FL 341032742
Phone: (239) 263-1717
Fax: (239) 403-9410
Type: Mailing
19910 S Tamiami Trl Ste B
Estero, FL 339284140
Phone: (239) 676-8677
Fax: (239) 676-8680
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Organogenesis Inc. ($79).
Total Amount
$272
General + Research + Ownership
Payments
13
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $79 |
| Janssen Biotech, Inc. | $55 |
| Almirall LLC | $50 |
| Dermavant Sciences, Inc. | $19 |
| Sun Pharmaceutical Industries Inc. | $19 |
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: 2007-09-25
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 |
|---|---|---|---|---|
| I20070925000545 | I | Micrographic Dermatologic Surgery (Mds) | FL | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 333 | 238 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 270 | 193 | $0 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 177 | 134 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 167 | 117 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 150 | 98 | $0 |
Insurance plans in this area (ZIP 34103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 506 | 127 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL | |
| - | FL | |
| Physician Assistant | FL |
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