LISA DIANE IUCCI (DO) – Surgery Physician, NPI 1275975161

LISA DIANE IUCCI (DO) is a healthcare provider. based in Marlton, New Jersey. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 25MB10400100 (NJ). The NPI Number for LISA DIANE IUCCI (DO) is 1275975161

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA DIANE IUCCI (DO)
NPI
1275975161
Phone
(856) 355-0340
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
22 July 2013
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7323338720
Graduation Year
2009 (17 years ago)
PAC ID
3173874559
Group Practice PAC ID
8921060484
Professional Enrollment ID
I20180924003592
Address ID
NJ077024224SH535XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
liucci138819@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

983 GENERAL SURGERY in NJ

Provider Addresses for LISA DIANE IUCCI (DO)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • 1113 HOSPITAL DR STE 100A

    WILLINGBORO, NJ 080461128

    Phone: (609) 835-5821

    Fax: (609) 835-5827

    Type: Location

  • 200 SCHULZ DR STE 2

    RED BANK, NJ 077016745

    Phone: (327) 426-3420

    Fax: (732) 747-2606

    Type: Mailing

  • 4096 ENGLISH CREEK AVE

    EGG HARBOR TOWNSHIP, NJ 082345746

    Phone: (609) 204-5357

    Fax: (609) 272-7755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intra-Sana Laboratories ($143).

Total Amount

$362

General + Research + Ownership

Payments

11

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2018-09-24

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
I20180924003592IGeneral SurgeryNJTBD

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 minutes7340$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
97597Removal of tissue from wound, 20.0 sq cm or less3718$0
11042Removal of skin and tissue, 20.0 sq cm or less2012$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 8921060484View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryPA
-NJ
General SurgeryNJ
Plastic And Reconstructive Surgery, General Surgery, Maxillofacial Surgery, Hand SurgeryNJ
-NJ
Plastic And Reconstructive SurgeryGA
Physician AssistantNJ
Plastic And Reconstructive SurgeryCT
Physician AssistantNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

How do payers reference LISA DIANE IUCCI (DO)?
For LISA DIANE IUCCI (DO), use NPI 1275975161 as the unique 10-digit identifier.
Would LISA DIANE IUCCI (DO) appear as active to a payer?
You can treat LISA DIANE IUCCI (DO) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LISA DIANE IUCCI (DO)?
At a glance, LISA DIANE IUCCI (DO) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA DIANE IUCCI (DO)?
Directory geography for LISA DIANE IUCCI (DO) centers on Marlton, New Jersey.
Can I trust this NPI listing for LISA DIANE IUCCI (DO)?
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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