LISA DIETZ (DO) – Family Medicine Physician, NPI 1629067541
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for LISA DIETZ (DO)
6507 TOWN CENTER DR
SUITE A
CLARKSTON, MI 483464826
Phone: (248) 922-9975
Fax: (248) 922-9143
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $988.
Total Amount is formed as General ($988) + Research ($0) + Ownership ($0) = $988.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($422).
Total Amount
$988
General + Research + Ownership
Payments
53
Total payment records
General Amount
$988
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $422 |
| Lilly USA, LLC | $184 |
| Novo Nordisk Inc | $115 |
| Bayer Healthcare Pharmaceuticals Inc. | $80 |
| Astellas Pharma US Inc | $45 |
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: 2006-01-26
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 |
|---|---|---|---|---|
| I20060126000139 | I | Internal Medicine | MI | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 215 | 148 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 121 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 158 | 158 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 134 | 95 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 28 | 26 | $0 |
Insurance plans in this area (ZIP 48346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Family Practice | MI | |
| Emergency Medicine | IL | |
| - | GA | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| - | MI |
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