DR. LISA ANN DESTEFANO (D.O) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1336177674

DR. LISA ANN DESTEFANO (D.O) is a healthcare provider. based in East lansing, Michigan. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold the professional credentials D.O. They hold a License No. 5101012158 (MI). The NPI Number for DR. LISA ANN DESTEFANO (D.O) is 1336177674

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANN DESTEFANO (D.O)
NPI
1336177674
Phone
(517) 884-2976
Address
804 SERVICE RD
Enumeration Date
28 June 2006
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
7214965417
Group Practice PAC ID
3870405954
Professional Enrollment ID
I20050729000164
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LISA ANN DESTEFANO (D.O)

  • Clinical Center A Wing, 804, Service Road, East Neighborhood, East Lansing, Ingham County, Michigan, 48824, United States

    STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 4660, South Hagadorn Road, East Neighborhood, East Lansing, Ingham County, Michigan, 48823, United States

    SUITE 500

    EAST LANSING, MI 488235376

    Phone: (517) 432-6144

    Fax: (517) 432-6150

    Type: Location

  • 804 SERVICE RD STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 432-6144

    Fax: (517) 432-6150

    Type: Mailing

  • 4660 S HAGADORN RD STE 500

    EAST LANSING, MI 488236804

    Phone: (517) 432-6144

    Fax: (517) 432-6150

    Type: Location

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: 2005-07-29

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
I20050729000164IOsteopathic Manipulative MedicineMITBD

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 minutes16282$0
98927Osteopathic manipulative treatment, 5-6 body regions12387$0
98926Osteopathic manipulative treatment, 3-4 body regions5444$0
98928Osteopathic manipulative treatment, 7-8 body regions4432$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3428$0
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Insurance plans in this area (ZIP 48824)

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Provider's Procedures

DR. LISA ANN DESTEFANO (D.O) performs procedures in Neuromusculoskeletal Medicine & OMM Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OSTEOPATHIC MANIPULATIVE MEDICINEMI98926Osteopathic manipulative treatment to 3-4 body regions17569
OSTEOPATHIC MANIPULATIVE MEDICINEMI98928Osteopathic manipulative treatment to 7-8 body regions2317

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: 3870405954View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. LISA ANN DESTEFANO (D.O)?
The registry entry for DR. LISA ANN DESTEFANO (D.O) shows NPI 1336177674.
Quick check: is DR. LISA ANN DESTEFANO (D.O) active?
Public NPPES data shows DR. LISA ANN DESTEFANO (D.O) with an active NPI status right now.
What services align with DR. LISA ANN DESTEFANO (D.O)'s listing?
DR. LISA ANN DESTEFANO (D.O)'s public classification highlights Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LISA ANN DESTEFANO (D.O)?
DR. LISA ANN DESTEFANO (D.O) shows a connection to East Lansing, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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