LISA M INGOLD (PA-C) – Physician Assistant, NPI 1538147053
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LISA M INGOLD (PA-C)
South Garden Way, Eugene, Lane County, Oregon, 97403-1221, United States
EUGENE, OR 974018187
Phone: (541) 747-6159
Fax: (541) 741-7249
Type: Location
South Garden Way, Eugene, Lane County, Oregon, 97475, United States
STE 230
EUGENE, OR 974018187
Phone: (541) 747-6159
Type: Mailing
360 S Garden Way Ste 230
Eugene, OR 974018187
Phone: (541) 747-6159
Fax: (541) 741-7249
Type: Location
1605 G ST
SPRINGFIELD, OR 974774227
Phone: (541) 747-6159
Fax: (541) 741-7249
Type: Mailing
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 $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Incyte Corporation ($83).
Total Amount
$98
General + Research + Ownership
Payments
2
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $83 |
| Smith+Nephew, Inc. | $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: 2005-08-02
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 |
|---|---|---|---|---|
| I20050802001026 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 431 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 143 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 115 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 90 | 90 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 85 | 72 | $0 |
Insurance plans in this area (ZIP 97401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR |
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