DR. BRADLEY ALEX LISKO (M.D.) – Internal Medicine Physician, NPI 1700889003

DR. BRADLEY ALEX LISKO (M.D.) is a healthcare provider. based in Westerville, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35063629L (OH). The NPI Number for DR. BRADLEY ALEX LISKO (M.D.) is 1700889003

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY ALEX LISKO (M.D.)
NPI
1700889003
Phone
Not provided
Address
110 POLARIS PKWY
Enumeration Date
31 May 2005
Deactivation Date
20 March 2006
Reactivation Date
4 August 2006
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6148653172
Graduation Year
1991 (35 years ago)
PAC ID
5193758019
Group Practice PAC ID
2769383785
Professional Enrollment ID
I20111123000538
Address ID
OH430829808WE655XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
bradleylisko@ppimp.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:21State licenses:2Other namesUpdated within 12 months

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. BRADLEY ALEX LISKO (M.D.)

  • Polaris Parkway, Westerville, Delaware County, Ohio, 43240, United States

    STE 250

    WESTERVILLE, OH 430828074

    Phone:

    Fax: (614) 865-4900

    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 3 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($46).

Total Amount

$67

General + Research + Ownership

Payments

3

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2011-11-23

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
I20111123000538IInternal MedicineOHTBD

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
36415Insertion of needle into vein for collection of blood sample274174$0
99214Established patient office or other outpatient visit, 30-39 minutes218117$0
80048Blood test, basic group of blood chemicals (calcium, total)181133$0
83036Hemoglobin a1c level149126$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit135135$0
View full utilization report →

Insurance plans in this area (ZIP 43082)

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Provider's Procedures

DR. BRADLEY ALEX LISKO (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH81002Urinalysis, manual test10891
INTERNAL MEDICINEOH90670Pneumococcal vaccine for injection into muscle4343

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: 2769383785View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineOH
Endocrinology, Internal MedicineOH
-OH
Internal MedicineOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRADLEY ALEX LISKO (M.D.)'s NPI?
Yes. DR. BRADLEY ALEX LISKO (M.D.) is listed with NPI 1700889003 in the public NPI dataset.
Does CMS list DR. BRADLEY ALEX LISKO (M.D.) as active?
Yes — DR. BRADLEY ALEX LISKO (M.D.) is active in the NPI listing used on this page.
What is DR. BRADLEY ALEX LISKO (M.D.)'s specialty?
The listing groups DR. BRADLEY ALEX LISKO (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRADLEY ALEX LISKO (M.D.) based?
DR. BRADLEY ALEX LISKO (M.D.) is tied to Westerville, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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