LISA M JARDINE (MD) – Obstetrics & Gynecology Physician, NPI 1881662153

LISA M JARDINE (MD) is a healthcare provider. based in Clearwater, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME76581 (FL). The NPI Number for LISA M JARDINE (MD) is 1881662153

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA M JARDINE (MD)
NPI
1881662153
Phone
(727) 315-7496
Address
2995 DREW ST
Enumeration Date
10 March 2006
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277255060
Graduation Year
1994 (32 years ago)
PAC ID
0244365906
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20100319000260
Address ID
FL337631726CL2461XRDXX301

Contacts

Secure Messaging
Lisa.JardineMD@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for LISA M JARDINE (MD)

  • 2995 DREW ST

    CLEARWATER, FL 337593012

    Phone: (727) 315-7496

    Type: Mailing

  • 450, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States

    WINTER HAVEN, FL 338803050

    Phone: (863) 294-0670

    Fax: (863) 298-3200

    Type: Location

  • 635, 1st Street North, Winter Haven, Polk County, Florida, 33881, United States

    WINTER HAVEN, FL 338814129

    Phone: (863) 294-0670

    Fax: (863) 298-3200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $809.

Total Amount is formed as General ($809) + Research ($0) + Ownership ($0) = $809.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Astellas Pharma US Inc ($193).

Total Amount

$809

General + Research + Ownership

Payments

29

Total payment records

General Amount

$809

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2010-03-19

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
I20100319000260IObstetrics/GynecologyFLTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination7979$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory6969$0
77063Screening 3d breast mammography6060$0
77067Screening mammography6060$0
99213Established patient office or other outpatient visit, 20-29 minutes5130$0
View full utilization report →

Insurance plans in this area (ZIP 33759)

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Provider's Procedures

LISA M JARDINE (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYFL82270Stool analysis for blood to screen for colon tumors129129

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: 6406753623View full group profile

Reviews

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Frequently asked questions

What federal number belongs to LISA M JARDINE (MD)?
The federal identifier for LISA M JARDINE (MD) is NPI 1881662153.
Is LISA M JARDINE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is LISA M JARDINE (MD)?
The page reflects Obstetrics & Gynecology Physician for LISA M JARDINE (MD). Clinical services aligned with this taxonomy classification.
Where is LISA M JARDINE (MD)'s primary listing?
We display Clearwater, Florida because that is what the record indicates for LISA M JARDINE (MD).
What if Clearwater, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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