DR. LISA A MALYS (DO) – Family Medicine Physician, NPI 1013172121

DR. LISA A MALYS (DO) is a healthcare provider. based in Wooster, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS014900 (PA). The NPI Number for DR. LISA A MALYS (DO) is 1013172121

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA A MALYS (DO)
NPI
1013172121
Phone
(330) 601-0999
Address
3477 COMMERCE PKWY
Enumeration Date
29 July 2008
Last Update Date
16 August 2016

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3306010999
Graduation Year
2008 (18 years ago)
PAC ID
5092985234
Group Practice PAC ID
5890140032
Professional Enrollment ID
I20140624001289
Address ID
OH446917126WO3477XPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. LISA A MALYS (DO)

  • 3477 COMMERCE PKWY

    SUITE A

    WOOSTER, OH 446917126

    Phone: (330) 601-0999

    Fax: (330) 601-0935

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-06-24

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
I20140624001289IFamily PracticeOHTBD

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 minutes172109$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9393$0
83036Hemoglobin a1c level7439$0
99214Established patient office or other outpatient visit, 30-39 minutes4631$0
G0008Administration of influenza virus vaccine3030$0
View full utilization report →

Insurance plans in this area (ZIP 44691)

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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: 5890140032View full group profile
NameSpecialtyState
Family PracticeOH
Family PracticeOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is DR. LISA A MALYS (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. LISA A MALYS (DO) with NPI 1013172121.
Is DR. LISA A MALYS (DO) listed as active for patients and plans?
The listing shows DR. LISA A MALYS (DO) as active in the NPI system.
What healthcare role does DR. LISA A MALYS (DO) hold?
Scheduling teams often label DR. LISA A MALYS (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LISA A MALYS (DO) on a map?
Expect Wooster, Ohio as a primary anchor for DR. LISA A MALYS (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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