DR. LISA M DELONG (M.D.) – Obstetrics & Gynecology Physician, NPI 1255338604

DR. LISA M DELONG (M.D.) is a healthcare provider. based in Springfield, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 35064397 (OH). The NPI Number for DR. LISA M DELONG (M.D.) is 1255338604

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M DELONG (M.D.)
NPI
1255338604
Phone
(937) 323-7340
Address
1821 E HIGH ST
Enumeration Date
30 June 2005
Last Update Date
18 February 2013

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
7603236436
Graduation Year
1991 (35 years ago)
PAC ID
6608036983
Group Practice PAC ID
7214827591
Professional Enrollment ID
I20200811002301
Address ID
CA922624872PA1150XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,818 OBSTETRICS/GYNECOLOGY in OH

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Provider Addresses for DR. LISA M DELONG (M.D.)

  • East High Street, Woodland Heights, Springfield, Greene County, Missouri, 65803, United States

    SPRINGFIELD, OH 455051225

    Phone: (937) 323-7340

    Fax: (937) 323-3363

    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: 2021-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120323000102IObstetrics/GynecologyOHTBD
I20200811002301IObstetrics/GynecologyCATBD
I20210915002304IObstetrics/GynecologyWYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45505)

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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: 7214827591View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
-TX
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
-WA
Diagnostic RadiologyCA
-CA

Reviews

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Frequently asked questions

Does DR. LISA M DELONG (M.D.) have a public NPI I can cite?
Public records show DR. LISA M DELONG (M.D.) under NPI 1255338604.
Should I treat DR. LISA M DELONG (M.D.) as an active provider?
Patients and plans typically see DR. LISA M DELONG (M.D.) as active in the national extract.
What type of care does DR. LISA M DELONG (M.D.) provide?
DR. LISA M DELONG (M.D.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. LISA M DELONG (M.D.) in Springfield, Ohio?
For routing, start with Springfield, Ohio for DR. LISA M DELONG (M.D.), then verify phone and hours locally.
Who maintains DR. LISA M DELONG (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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