MICHAEL DAVID LIFSON (DO) – Family Medicine Physician, NPI 1285196725
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,083 FAMILY PRACTICE in OR
Provider Addresses for MICHAEL DAVID LIFSON (DO)
831 NW COUNCIL DR STE 125
GRESHAM, OR 970303794
Phone: (503) 665-8176
Fax: (503) 665-8178
Type: Location
West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
CHICAGO, IL 606313712
Phone: (773) 792-5155
Type: Location
7447 W Talcott Ave Ste 182
Chicago, IL 606313712
Phone: (773) 792-5155
Type: Location
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: 2023-04-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230111002863 | I | Family Practice | AZ | TBD |
| I20230413000191 | I | Family Practice | IL | 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 | 136 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 85 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | CA |
Reviews
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