LYNN R FISHER (M.D.) – Family Medicine Physician, NPI 1083615447

LYNN R FISHER (M.D.) is a healthcare provider. based in Wichita, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-30818 (KS). The NPI Number for LYNN R FISHER (M.D.) is 1083615447

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
LYNN R FISHER (M.D.)
NPI
1083615447
Phone
(316) 293-2607
Address
1010 N KANSAS ST STE 3001D
Enumeration Date
9 August 2005
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
8729056114
Group Practice PAC ID
8325959331
Professional Enrollment ID
I20040923000225
Address ID
KS676631632PL1210XSTXX400

Contacts

Secure Messaging
LYNN.FISHER@hca3.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,421 FAMILY PRACTICE in KS

Provider Addresses for LYNN R FISHER (M.D.)

  • 1010 N KANSAS ST STE 3001D

    WICHITA, KS 672143124

    Phone: (316) 293-2607

    Fax: (316) 293-2696

    Mailing address matches the actual address.

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: 2004-09-23

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
I20040923000225IFamily PracticeKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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Provider's Procedures

LYNN R FISHER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS85610Blood test, clotting time4811
FAMILY MEDICINEKS90670Pneumococcal vaccine for injection into muscle2727

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: 8325959331View full group profile
NameSpecialtyState
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS
Internal MedicineOH
Family PracticeKS
Physician AssistantKS
Physician AssistantKS
Family PracticeKS
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What NPI should I save for LYNN R FISHER (M.D.)?
Save NPI 1083615447 if you need a stable reference for LYNN R FISHER (M.D.).
Does this profile mean LYNN R FISHER (M.D.) is currently active?
Yes — LYNN R FISHER (M.D.) appears active in the national provider directory.
What field does LYNN R FISHER (M.D.) work in?
You can think of LYNN R FISHER (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LYNN R FISHER (M.D.)?
The page summarizes Wichita, Kansas for LYNN R FISHER (M.D.); expand the address list for detail.
What if Wichita, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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