DR. LISA M DERR (D.O.) – Surgery Physician, NPI 1124218540
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
984 GENERAL SURGERY in NJ
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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
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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
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $69 |
| Acera Surgical, Inc. | $14 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111005000289 | I | General Surgery | NJ | TBD |
| I20250409000347 | I | General Surgery | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 312 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 36 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 59 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
Insurance plans in this area (ZIP 07202)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | PA | |
| Family Practice, Peripheral Vascular Disease | FL | |
| Nurse Practitioner | PA | |
| General Surgery | MA | |
| Family Practice, Peripheral Vascular Disease | NJ | |
| - | PA | |
| General Surgery | PA | |
| General Surgery | PA |
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