LIESE K VITO (MD) – Obstetrics & Gynecology Physician, NPI 1225090004
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LIESE K VITO (MD)
PO BOX 781389
DETROIT, MI 482781389
Phone: (440) 918-4630
Fax: (440) 918-4632
Type: Mailing
306, Squam Lake Road, Willoughby Point, Holderness, Grafton County, New Hampshire, 03245, United States
WILLOUGHBY, OH 440949203
Phone: (440) 918-4630
Fax: (440) 918-4654
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 $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($90).
Total Amount
$103
General + Research + Ownership
Payments
2
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $90 |
| Hologic Sales and Service, LLC | $13 |
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: 2007-06-22
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 |
|---|---|---|---|---|
| I20070622000565 | I | Obstetrics/Gynecology | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 73 | $0 |
Insurance plans in this area (ZIP 48278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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