LISA MARIE PETERSON (MD) – Family Medicine Physician, NPI 1073682993

LISA MARIE PETERSON (MD) is a healthcare provider. based in Lincoln, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 17254 (NE). The NPI Number for LISA MARIE PETERSON (MD) is 1073682993

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE PETERSON (MD)
NPI
1073682993
Phone
(402) 488-5050
Address
4701 NORMAL BLVD
Enumeration Date
7 November 2006
Last Update Date
26 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024885050
Graduation Year
1985 (41 years ago)
PAC ID
4587793757
Group Practice PAC ID
5799925475
Professional Enrollment ID
I20100526000583
Address ID
NE685065563LI4701XBLVD300
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

953 FAMILY PRACTICE in NE

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Provider Addresses for LISA MARIE PETERSON (MD)

  • 4701, Normal Boulevard, Lincoln, Lancaster County, Nebraska, 68506, United States

    LINCOLN, NE 685065563

    Phone: (402) 488-5050

    Fax: (402) 488-5001

    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 106 Open Payments records for all available years, with a total value of $1,747.

Total Amount is formed as General ($1,747) + Research ($0) + Ownership ($0) = $1,747.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($239).

Total Amount

$1,747

General + Research + Ownership

Payments

106

Total payment records

General Amount

$1,747

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: 2010-05-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100526000583IFamily PracticeNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes678281$0
99213Established patient office or other outpatient visit, 20-29 minutes367238$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit269269$0
G0444Annual depression screening, 5 to 15 minutes259259$0
G0008Administration of influenza virus vaccine111111$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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Provider's Procedures

LISA MARIE PETERSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE83036Hemoglobin A1C level15290
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle6969

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: 5799925475View full group profile
NameSpecialtyState
Family PracticeNE
Internal MedicineNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
-NE
Family PracticeNE
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows LISA MARIE PETERSON (MD) across health systems?
The NPI 1073682993 uniquely identifies LISA MARIE PETERSON (MD) in U.S. healthcare data.
Quick check: is LISA MARIE PETERSON (MD) active?
Public NPPES data shows LISA MARIE PETERSON (MD) with an active NPI status right now.
Which specialty label fits LISA MARIE PETERSON (MD)?
NPPES ties LISA MARIE PETERSON (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA MARIE PETERSON (MD)?
LISA MARIE PETERSON (MD) shows a connection to Lincoln, Nebraska in registry-derived data.
Can I export LISA MARIE PETERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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