DR. LISA PETERSON SALATA (MD) – Family Medicine Physician, NPI 1710081096
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LISA PETERSON SALATA (MD)
200 ROCKRIDGE RD STE 100
ENGLEWOOD, OH 453222728
Phone: (937) 274-2117
Fax: (937) 274-9809
Type: Mailing
235 W National Rd
Vandalia, OH 453771969
Phone: (937) 274-2117
Fax: (937) 274-9809
Type: Location
298 SHADYWOOD DR
DAYTON, OH 454151238
Phone: (937) 657-7354
Type: Mailing
3667, Marlane Drive, Grove City, Jackson Township, Franklin County, Ohio, 43123, United States
GROVE CITY, OH 43123
Phone: (614) 277-9631
Fax: (614) 539-8273
Type: Mailing
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 $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($85).
Total Amount
$126
General + Research + Ownership
Payments
3
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $85 |
| ABBVIE INC. | $24 |
| Novo Nordisk Inc | $17 |
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: 2023-08-10
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 |
|---|---|---|---|---|
| I20230810001078 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 31 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 45322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| Internal Medicine | OH |
Reviews
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