JANE H LISKO (M.D.) – Specialist, NPI 1619910890

JANE H LISKO (M.D.) is a healthcare provider. based in Fridley, Minnesota. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 43419 (MN). The NPI Number for JANE H LISKO (M.D.) is 1619910890

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JANE H LISKO (M.D.)
NPI
1619910890
Phone
(763) 571-4000
Address
7205 UNIVERSITY AVE NE
Enumeration Date
14 June 2006
Last Update Date
16 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635714000
Graduation Year
1997 (29 years ago)
PAC ID
3274620281
Group Practice PAC ID
8921908047
Professional Enrollment ID
I20110415000232
Address ID
MN553471185ED18315DRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

49 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MN

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Provider Addresses for JANE H LISKO (M.D.)

  • 7205, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554323134

    Phone: (763) 571-4000

    Fax: (763) 571-7202

    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 22 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($65).

Total Amount

$337

General + Research + Ownership

Payments

22

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2011-04-15

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
I20110415000232IMicrographic Dermatologic Surgery (Mds)MNTBD

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 growths497100$0
99213Established patient office or other outpatient visit, 20-29 minutes239186$0
17000Destruction of precancer skin growth, 1 growth149132$0
17110Destruction of skin growth, 1-14 growths130117$0
11102Biopsy of related skin growth, first growth10188$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

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Provider's Procedures

JANE H LISKO (M.D.) performs procedures in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMN13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2423
DERMATOLOGYMN17003Destruction of 2-14 skin growths26366

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: 8921908047View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
Dermatology, Micrographic Dermatologic Surgery (Mds)MN
Undefined Physician Type (Specify), DermatologyMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is JANE H LISKO (M.D.)'s NPI number?
JANE H LISKO (M.D.)'s NPI is 1619910890 — the number used across U.S. healthcare to identify this provider.
Is JANE H LISKO (M.D.) shown as active in public data?
Registry records indicate JANE H LISKO (M.D.) maintains an active NPI.
What clinical focus is listed for JANE H LISKO (M.D.)?
At a glance, JANE H LISKO (M.D.) is tied to Other Service Providers. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JANE H LISKO (M.D.)?
Travel planning: use Fridley, Minnesota as the reference point for JANE H LISKO (M.D.), then confirm.
Can I trust this NPI listing for JANE H LISKO (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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