DR. LISA ANN WILSON (M.D.) – Dermatology Physician, NPI 1336223833
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
247 DERMATOLOGY in IN
Provider Addresses for DR. LISA ANN WILSON (M.D.)
2525 W UNIVERSITY AVE STE 402
MUNCIE, IN 473033409
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Location
3500 W PURDUE AVE
MUNCIE, IN 473046357
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Location
3500, West Purdue Avenue, Andersonville, Muncie, Delaware County, Indiana, 47304, United States
MUNCIE, IN 473046357
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $466.
Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($104).
Total Amount
$466
General + Research + Ownership
Payments
21
Total payment records
General Amount
$466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $104 |
| Amgen Inc. | $98 |
| Regeneron Healthcare Solutions, Inc. | $85 |
| ABBVIE INC. | $61 |
| Janssen Biotech, Inc. | $37 |
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: 2012-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101025000374 | I | Dermatology | IN | TBD |
| I20120420000195 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,855 | 297 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 716 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 668 | 485 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 541 | 387 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 529 | 131 | $0 |
Insurance plans in this area (ZIP 47303)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IN | |
| Radiation Oncology | IN | |
| Physician Assistant | OH | |
| - | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | NY | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | IN |
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