TOMASZ PIOTR LIS (MD) – Family Medicine Physician, NPI 1003122151
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for TOMASZ PIOTR LIS (MD)
102 E Culver Rd
Knox, IN 465342216
Phone: (574) 772-6231
Fax: (574) 772-2885
Type: Location
501 E. LINCOLN ST.
PO BOX 106
HENDRICKS, MN 56136
Phone: (507) 275-3121
Fax: (507) 275-3194
Type: Mailing
2233 W DIVISION ST
CHICAGO, IL 606228151
Phone: (312) 770-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (919 days ago).
Enrollment records
5
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20131108000055 | I | Family Practice | MN | 2023-11-30 |
| I20200806003163 | I | Emergency Medicine | IN | TBD |
| I20200909000994 | I | Family Practice | IL | TBD |
| I20220302001593 | I | Emergency Medicine | IA | TBD |
| I20240503003322 | I | Emergency Medicine | WI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 79 | 73 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 71 | 69 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 27 | 26 | $0 |
Insurance plans in this area (ZIP 46534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Family Practice | MN |
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