LISA ADAMS (P.A.-C) – Physician Assistant, NPI 1265779003
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA ADAMS (P.A.-C)
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-7499
Fax: (614) 366-2360
Type: Mailing
610 W MAIN ST
WILMINGTON, OH 451772125
Phone: (937) 382-6611
Type: Mailing
451 INDIAN RIPPLE RD
WILMINGTON, OH 451777929
Phone: (025) 408-7982
Fax: (414) 622-3860
Type: Mailing
3502 SALZMAN ROAD
MIDDLETOWN, OH 45044
Phone: (844) 708-4820
Fax: (414) 622-3860
Type: Location
410 W 10TH AVE
COLUMBUS, OH 432101240
Phone: (614) 293-7499
Fax: (614) 366-2360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Abbott Laboratories ($30).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $30 |
| Boston Scientific Corporation | $16 |
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: 2017-03-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170306000366 | I | Physician Assistant | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| - | OH | |
| - | OH | |
| Physician Assistant | OH | |
| - | OH | |
| U R O L O G Y | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
Reviews
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