LISA TACK (PA-C) – Physician Assistant, NPI 1568835189
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for LISA TACK (PA-C)
1001 NW 13TH ST
#100
BOCA RATON, FL 334862269
Phone: (561) 750-0544
Type: Mailing
5210 LINTON BLVD STE 207
DELRAY BEACH, FL 334846537
Phone: (561) 559-1516
Fax: (561) 270-3928
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 227 Open Payments records for all available years, with a total value of $4,079.
Total Amount is formed as General ($4,079) + Research ($0) + Ownership ($0) = $4,079.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,174).
Total Amount
$4,079
General + Research + Ownership
Payments
227
Total payment records
General Amount
$4,079
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,174 |
| E.R. Squibb & Sons, L.L.C. | $395 |
| Dermavant Sciences, Inc. | $211 |
| Regeneron Healthcare Solutions, Inc. | $191 |
| GENZYME CORPORATION | $177 |
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: 2016-05-17
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 |
|---|---|---|---|---|
| I20160517000898 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33486)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| Plastic And Reconstructive Surgery | NY | |
| Nurse Practitioner | FL | |
| Pathology, Dermatology | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL | |
| D E R M A T O L O G Y | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.