DR. LISA A BARACKER (DO) – Student in an Organized Health Care Education/Training Program, NPI 1326361668
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for DR. LISA A BARACKER (DO)
2809 NE LINCOLN RD
IDABEL, OK 747452421
Phone: (580) 286-6688
Fax: (580) 286-6699
Type: Mailing
125 S Central Ave Ste 201
Medford, OR 975017222
Phone: (541) 344-9411
Fax: (406) 247-3389
Type: Location
160 NW Franklin Blvd
Grants Pass, OR 975261086
Phone: (541) 344-9411
Type: Location
Riverstone Health, 123, South 27th Street, Billings, Yellowstone County, Montana, 59101, United States
BILLINGS, MT 591014227
Phone: (406) 247-3350
Fax: (406) 247-3389
Type: Mailing
125 S CENTRAL AVE STE 201
MEDFORD, OR 975017222
Phone: (541) 344-9411
Fax: (406) 247-3389
Type: Mailing
160 NW FRANKLIN BLVD
GRANTS PASS, OR 975261086
Phone: (541) 344-9411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Medtronic, Inc. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $27 |
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: 2023-07-17
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 |
|---|---|---|---|---|
| I20230717002969 | I | Family Practice | OK | 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 74745)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| - | OK | |
| Clinical Social Worker | OK | |
| - | OK | |
| Family Practice, Emergency Medicine | TN | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| General Practice | OK | |
| Family Practice, General Practice | TX | |
| Physician Assistant | OK |
Reviews
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