DR. LISA M BEDFORD (MD) – Dermatology Physician, NPI 1467981779

DR. LISA M BEDFORD (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 4301505079 (MI). The NPI Number for DR. LISA M BEDFORD (MD) is 1467981779

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M BEDFORD (MD)
NPI
1467981779
Phone
Not provided
Address
18100 OAKWOOD BLVD STE 300
Enumeration Date
8 June 2017
Last Update Date
14 April 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
61657568941194
Graduation Year
2017 (9 years ago)
PAC ID
4880954205
Group Practice PAC ID
8224032594
Professional Enrollment ID
I20210712000552
Address ID
MI495466204GR1740XSEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. LISA M BEDFORD (MD)

  • Oakwood Boulevard, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481244085

    Phone:

    Type: Mailing

  • 1740 E PARIS AVE SE

    GRAND RAPIDS, MI 495466204

    Phone: (616) 949-5600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,367.

Total Amount is formed as General ($2,367) + Research ($0) + Ownership ($0) = $2,367.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($578).

Total Amount

$2,367

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-12

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
I20210712000552IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths27761$0
99213Established patient office or other outpatient visit, 20-29 minutes186162$0
17000Destruction of precancer skin growth, 1 growth9482$0
11102Biopsy of related skin growth, first growth8573$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
View full utilization report →

Insurance plans in this area (ZIP 48124)

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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: 8224032594View full group profile
NameSpecialtyState
Nurse PractitionerMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Dermatology, Family PracticeMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

How do I look up DR. LISA M BEDFORD (MD) by NPI?
Use NPI 1467981779 when you need to reference DR. LISA M BEDFORD (MD) in forms, claims, or directories.
Is DR. LISA M BEDFORD (MD)'s NPI currently valid?
The extract we use shows DR. LISA M BEDFORD (MD) as active.
What field does DR. LISA M BEDFORD (MD) work in?
You can think of DR. LISA M BEDFORD (MD) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. LISA M BEDFORD (MD) practice in Michigan?
You will see Dearborn, Michigan on file for DR. LISA M BEDFORD (MD) alongside any extra practice locations.
How can I contact DR. LISA M BEDFORD (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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