LISA R. EMM (MD) – Obstetrics & Gynecology Physician, NPI 1386665966

LISA R. EMM (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036-115642 (IL). The NPI Number for LISA R. EMM (MD) is 1386665966

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LISA R. EMM (MD)
NPI
1386665966
Phone
(309) 663-0411
Address
2304 STERN DR
Enumeration Date
21 July 2006
Last Update Date
12 November 2014

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3098083068
Graduation Year
2002 (24 years ago)
PAC ID
3173527066
Group Practice PAC ID
9133379340
Professional Enrollment ID
I20060907000354
Address ID
IL617015783BL2111XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for LISA R. EMM (MD)

  • 2304, Stern Drive, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617044406

    Phone: (309) 663-0411

    Fax: (309) 662-2018

    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 39 Open Payments records for all available years, with a total value of $714.

Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($293).

Total Amount

$714

General + Research + Ownership

Payments

39

Total payment records

General Amount

$714

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2006-09-07

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
I20060907000354IObstetrics/GynecologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5531$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3939$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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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: 9133379340View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is LISA R. EMM (MD)'s NPI number?
LISA R. EMM (MD)'s NPI is 1386665966 — the number used across U.S. healthcare to identify this provider.
Is LISA R. EMM (MD) shown as active in public data?
Registry records indicate LISA R. EMM (MD) maintains an active NPI.
What area of care is associated with LISA R. EMM (MD)?
LISA R. EMM (MD)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA R. EMM (MD)?
Directory geography for LISA R. EMM (MD) centers on Bloomington, Illinois.
When was this NPI issued?
Enumeration for LISA R. EMM (MD) is noted as July 21, 2006 where the registry provides it.

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