LISA OSTERBROCK (PA-C, ATC) – Medical Physician Assistant, NPI 1265762082
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,736 PHYSICIAN ASSISTANT in KY
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Provider Addresses for LISA OSTERBROCK (PA-C, ATC)
560, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Fax: (859) 817-7848
Type: Mailing
8726, Old United States Highway 42, Florence, Boone County, Kentucky, 41042, United States
FLORENCE, KY 410429625
Phone: (859) 301-2663
Fax: (859) 817-7848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($42).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $42 |
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: 2016-05-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20150210002349 | I | Physician Assistant | OH | TBD |
| I20160509000164 | I | Physician Assistant | KY | 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 | 80 | 76 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 57 | 41 | $0 |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 50 | 26 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 40 | 29 | $0 |
| 29405 | Application of short leg cast | 31 | 19 | $0 |
Insurance plans in this area (ZIP 41017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 60 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | KY | |
| Physical Therapist In Private Practice | OH | |
| Physician Assistant | KY | |
| Orthopedic Surgery | OH | |
| Physician Assistant | KY | |
| P O D I A T R Y | OH | |
| Orthopedic Surgery | KY | |
| Physician Assistant | OH | |
| Physical Medicine And Rehabilitation | OH |
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