EDWARD J JR. LIS (D.O.) – Orthopaedic Surgery Physician, NPI 1952371338

EDWARD J JR. LIS (D.O.) is a healthcare provider. based in Clarkston, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101014456 (MI). The NPI Number for EDWARD J JR. LIS (D.O.) is 1952371338

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J JR. LIS (D.O.)
NPI
1952371338
Phone
(248) 620-2325
Address
6310 SASHABAW RD
Enumeration Date
26 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8103549200
Graduation Year
1999 (27 years ago)
PAC ID
1557336500
Professional Enrollment ID
I20040901000793
Address ID
MI484398401GR9475XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,084 ORTHOPEDIC SURGERY in MI

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Provider Addresses for EDWARD J JR. LIS (D.O.)

  • Sashabaw Middle School, Pine Knob Road, Village of Clarkston, Oakland County, Michigan, 48346, United States

    SUITE A

    CLARKSTON, MI 483462270

    Phone: (248) 620-2325

    Fax: (248) 620-2326

    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 4 Open Payments records for all available years, with a total value of $1,143.

Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Stryker Corporation ($1,123).

Total Amount

$1,143

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-09-01

PECOS data refreshed: 2026-06-15

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
I20040901000793IOrthopedic SurgeryMITBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg87592$0
99213Established patient office or other outpatient visit, 20-29 minutes16498$0
73562X-ray of knee, 3 views15277$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance12781$0
73502X-ray of hip, 2-3 views8349$0
View full utilization report →

Insurance plans in this area (ZIP 48346)

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Provider's Procedures

EDWARD J JR. LIS (D.O.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI73110X-ray of wrist, minimum of 3 views3319

Reviews

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Frequently asked questions

What is the registry number for EDWARD J JR. LIS (D.O.)?
The registry entry for EDWARD J JR. LIS (D.O.) shows NPI 1952371338.
Is EDWARD J JR. LIS (D.O.)'s NPI status active today?
Active status means EDWARD J JR. LIS (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits EDWARD J JR. LIS (D.O.)?
NPPES ties EDWARD J JR. LIS (D.O.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to EDWARD J JR. LIS (D.O.)?
The directory associates EDWARD J JR. LIS (D.O.) with Clarkston, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for EDWARD J JR. LIS (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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