BRIAN A LISSE (M.D.) – Emergency Medicine Physician, NPI 1316971070

BRIAN A LISSE (M.D.) is a healthcare provider. based in Methuen, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 47980 (MA). The NPI Number for BRIAN A LISSE (M.D.) is 1316971070

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN A LISSE (M.D.)
NPI
1316971070
Phone
(978) 687-0156
Address
HOLY FAMILY HOSPITAL ED
Enumeration Date
10 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5088521805
Graduation Year
1980 (46 years ago)
PAC ID
7113966219
Group Practice PAC ID
3476512740
Professional Enrollment ID
I20050428000170
Address ID
MA016051906WO585XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for BRIAN A LISSE (M.D.)

  • HOLY FAMILY HOSPITAL ED

    70 EAST STREET

    METHUEN, MA 01844

    Phone: (978) 687-0156

    Type: Location

  • 276, Codman Hill Road, Boxborough, Middlesex County, Massachusetts, 01719, United States

    APT. NO. 22A

    BOXBOROUGH, MA 017191723

    Phone: (978) 687-0156

    Type: Mailing

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: 2005-04-28

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
I20050428000170IEmergency MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01844)

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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: 3476512740View full group profile
NameSpecialtyState
Internal Medicine, Addiction MedicineMA
P S Y C H I A T R YMA
Nurse PractitionerNH
-MA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Physician AssistantMA
Family PracticeRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN A LISSE (M.D.)?
BRIAN A LISSE (M.D.) — NPI 1316971070 — is the standard way to identify this listing.
Can I rely on BRIAN A LISSE (M.D.) being an active provider?
As of the registry snapshot, BRIAN A LISSE (M.D.) is marked active.
What taxonomy line describes BRIAN A LISSE (M.D.)?
For research purposes, treat BRIAN A LISSE (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is BRIAN A LISSE (M.D.) based?
BRIAN A LISSE (M.D.) is tied to Methuen, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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