DR. LISA B. VANWAGNER (M.D.) – Gastroenterology Physician, NPI 1881865640
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for DR. LISA B. VANWAGNER (M.D.)
676 N SAINT CLAIR ST FL 19
CHICAGO, IL 606112927
Phone: (312) 695-4837
Fax: (312) 695-3999
Type: Location
680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
SUITE 1000
CHICAGO, IL 606114546
Phone: (312) 695-9797
Type: Mailing
PO BOX 845347
DALLAS, TX 752847208
Phone: (214) 645-6284
Type: Mailing
6201 HARRY HINES BLVD
DALLAS, TX 753903111
Phone: (214) 633-5555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $4,578.
Total Amount is formed as General ($4,578) + Research ($0) + Ownership ($0) = $4,578.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($3,602).
Total Amount
$4,578
General + Research + Ownership
Payments
5
Total payment records
General Amount
$4,578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Madrigal Pharmaceuticals | $3,602 |
| Merck Sharp & Dohme LLC | $882 |
| Novo Nordisk Inc | $94 |
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: 2022-07-20
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 |
|---|---|---|---|---|
| I20220720000493 | I | Gastroenterology | TX | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 34 | 13 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 16 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 21 | 21 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | 13 | $0 |
Insurance plans in this area (ZIP 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Diagnostic Radiology | TX | |
| Anesthesiology, Pain Management | FL | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
Reviews
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