DR. LISA RUTH WASSERMAN (M.D.) – Orthopaedic Surgery Physician, NPI 1548222482

DR. LISA RUTH WASSERMAN (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 47293 (MN). The NPI Number for DR. LISA RUTH WASSERMAN (M.D.) is 1548222482

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA RUTH WASSERMAN (M.D.)
NPI
1548222482
Phone
(952) 993-3232
Address
3931 LOUISIANA AVE S
Enumeration Date
5 April 2006
Last Update Date
21 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
1997 (29 years ago)
PAC ID
4688602881
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20050729000148
Address ID
MN554265000ST3931XSXXX400
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

819 ORTHOPEDIC SURGERY in MN

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Provider Addresses for DR. LISA RUTH WASSERMAN (M.D.)

  • 3931, Louisiana Avenue South, Brooklawns, Saint Louis Park, Hennepin County, Minnesota, 55426, United States

    SUITE 400E

    ST LOUIS PARK, MN 554265000

    Phone: (952) 993-3232

    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 1 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Stryker Corporation ($148).

Total Amount

$148

General + Research + Ownership

Payments

1

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$148
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: 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
I20050729000148IOrthopedic SurgeryMNTBD

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 minutes3123$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2317$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Is there an official ID for DR. LISA RUTH WASSERMAN (M.D.) in U.S. healthcare records?
The official identifier for DR. LISA RUTH WASSERMAN (M.D.) is NPI 1548222482.
Is DR. LISA RUTH WASSERMAN (M.D.) shown as active in public data?
Registry records indicate DR. LISA RUTH WASSERMAN (M.D.) maintains an active NPI.
What clinical focus is listed for DR. LISA RUTH WASSERMAN (M.D.)?
At a glance, DR. LISA RUTH WASSERMAN (M.D.) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. LISA RUTH WASSERMAN (M.D.) located near St Louis Park?
DR. LISA RUTH WASSERMAN (M.D.) currently maps to St Louis Park, Minnesota in this extract.
When was this NPI issued?
Enumeration for DR. LISA RUTH WASSERMAN (M.D.) is noted as April 5, 2006 where the registry provides it.

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