LISA DENISE MULLALLY (D.O.) – Family Medicine Physician, NPI 1861462012
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for LISA DENISE MULLALLY (D.O.)
11275, Delaware Parkway, Crown Point, Lake County, Indiana, 46307, United States
CROWN POINT, IN 463077812
Phone: (219) 779-8735
Fax: (877) 715-2312
Type: Location
PO BOX 108
CROWN POINT, IN 463080108
Phone: (219) 779-8735
Fax: (877) 715-2312
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $2,256.
Total Amount is formed as General ($2,256) + Research ($0) + Ownership ($0) = $2,256.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($449).
Total Amount
$2,256
General + Research + Ownership
Payments
127
Total payment records
General Amount
$2,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $449 |
| Astellas Pharma US Inc | $272 |
| Novo Nordisk Inc | $219 |
| Otsuka America Pharmaceutical, Inc. | $118 |
| Lilly USA, LLC | $102 |
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: 2007-03-30
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 |
|---|---|---|---|---|
| I20070330000401 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 596 | 303 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 186 | 186 | $0 |
| 99497 | Advance care planning, first 30 minutes | 152 | 151 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 149 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 148 | 148 | $0 |
Insurance plans in this area (ZIP 46307)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Internal Medicine, Pediatric Medicine | IN |
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