DR. LISA MARIE RONBACK (M.D.) – Orthopaedic Surgery Physician, NPI 1790786523

DR. LISA MARIE RONBACK (M.D.) is a healthcare provider. based in Rochester, Indiana. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 01045175A (IN). The NPI Number for DR. LISA MARIE RONBACK (M.D.) is 1790786523

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA MARIE RONBACK (M.D.)
NPI
1790786523
Phone
(574) 224-1044
Address
1400 E 9TH ST
Enumeration Date
2 August 2005
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
9335193473
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20220314000714
Address ID
CA958165616SA2800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

668 ORTHOPEDIC SURGERY in IN

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Provider Addresses for DR. LISA MARIE RONBACK (M.D.)

  • Woodlawn Hospital, 1400, East 9th Street, Rochester, Fulton County, Indiana, 46975, United States

    ROCHESTER, IN 469758931

    Phone: (574) 224-1044

    Fax: (574) 224-1103

    Type: Mailing

  • PO BOX 255228

    SACRAMENTO, CA 958655228

    Phone:

    Type: Mailing

  • 1430, East 9th Street, Rochester, Fulton County, Indiana, 46975, United States

    ROCHESTER, IN 469758931

    Phone: (574) 223-9525

    Fax: (574) 223-5847

    Type: Location

  • 100 MISSION BLVD STE 2100

    JACKSON, CA 956422536

    Phone: (209) 257-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $824.

Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.

Last reported payment date: 2024-10-13 • Largest payer in this snapshot: Stryker Corporation ($637).

Total Amount

$824

General + Research + Ownership

Payments

11

Total payment records

General Amount

$824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-13

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: 2022-03-14

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
I20220314000714IOrthopedic SurgeryCATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15423$0
99213Established patient office or other outpatient visit, 20-29 minutes11986$0
99212Established patient office or other outpatient visit, 10-19 minutes7058$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5957$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 46975)

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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: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

How is DR. LISA MARIE RONBACK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LISA MARIE RONBACK (M.D.) with NPI 1790786523.
Can I rely on DR. LISA MARIE RONBACK (M.D.) being an active provider?
As of the registry snapshot, DR. LISA MARIE RONBACK (M.D.) is marked active.
What taxonomy line describes DR. LISA MARIE RONBACK (M.D.)?
For research purposes, treat DR. LISA MARIE RONBACK (M.D.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. LISA MARIE RONBACK (M.D.) list a practice location?
Patients near Rochester, Indiana may find DR. LISA MARIE RONBACK (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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