DR. LISA M DERR (D.O.) – Surgery Physician, NPI 1124218540

DR. LISA M DERR (D.O.) is a healthcare provider. based in Elizabeth, New Jersey. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 25MB08941100 (NJ). The NPI Number for DR. LISA M DERR (D.O.) is 1124218540

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M DERR (D.O.)
NPI
1124218540
Phone
(856) 796-9200
Address
240 WILLIAMSON ST
Enumeration Date
1 August 2007
Last Update Date
23 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154028600
Graduation Year
2011 (15 years ago)
PAC ID
9335311828
Group Practice PAC ID
9335378066
Professional Enrollment ID
I20250409000347
Address ID
PA194441014LA4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

984 GENERAL SURGERY in NJ

Loading map...

Provider Addresses for DR. LISA M DERR (D.O.)

  • 240, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States

    STE 104

    ELIZABETH, NJ 072023671

    Phone: (856) 796-9200

    Fax: (856) 796-9397

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($69).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-01

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: 2025-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111005000289IGeneral SurgeryNJTBD
I20250409000347IGeneral SurgeryPATBD

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
97597Removal of tissue from wound, 20.0 sq cm or less31265$0
99213Established patient office or other outpatient visit, 20-29 minutes15356$0
99214Established patient office or other outpatient visit, 30-39 minutes7036$0
11042Removal of skin and tissue, 20.0 sq cm or less5931$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 07202)

Loading plans...

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: 9335378066View full group profile
NameSpecialtyState
-FL
Nurse PractitionerMA
Nurse PractitionerPA
Family Practice, Peripheral Vascular DiseaseFL
Nurse PractitionerPA
General SurgeryMA
Family Practice, Peripheral Vascular DiseaseNJ
-PA
General SurgeryPA
General SurgeryPA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. LISA M DERR (D.O.)'s NPI number?
DR. LISA M DERR (D.O.)'s NPI is 1124218540 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. LISA M DERR (D.O.)?
You should see DR. LISA M DERR (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. LISA M DERR (D.O.)?
DR. LISA M DERR (D.O.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in New Jersey is DR. LISA M DERR (D.O.) registered?
Use Elizabeth, New Jersey as the headline location for DR. LISA M DERR (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

240, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1144218439

Unknown Individual

Surgery Physician
240, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1366430696

MR. RODOLFO COLACO (M.D.)

Surgery Physician
431, Elmora Avenue, Elmora, Elizabeth, Union County, New Jersey, 07208, United States
NPI: 1912964537
Steinway Street, Astoria Energy Combined Cycle Plant, Queens, New York, 11105, United States
NPI: 1316972094

MR. JUNG TSUNG TSAI (MD)

Vascular Surgery Physician
60, Elmora Avenue, Elmora, Elizabeth, Union County, New Jersey, 07202, United States
NPI: 1669496931

PEDRO M GUTIERREZ

Surgery Physician
464, North Avenue, Elizabeth, Union County, New Jersey, 07208, United States
NPI: 1093880239
151 BRENTWOOD DR
NPI: 1063552016

SERGIO L. BAERGA (M.D.)

Surgery Physician
379 CAMPUS DR FL 41
NPI: 1356530539

PEDRO M GUTIERREZ

Surgery Physician
464, North Avenue, Elizabeth, Union County, New Jersey, 07208, United States
NPI: 1164696555