LISA DRISCOLL MADISON (MD) – Pediatric Endocrinology Physician, NPI 1649291576

LISA DRISCOLL MADISON (MD) is a healthcare provider. based in Portland, Oregon. specializing in ENDOCRINOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD25215 (OR). The NPI Number for LISA DRISCOLL MADISON (MD) is 1649291576

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA DRISCOLL MADISON (MD)
NPI
1649291576
Phone
Not provided
Address
707 SW GAINES ST
Enumeration Date
23 July 2006
Last Update Date
10 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
1999 (27 years ago)
PAC ID
5294731147
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20100902000150
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

93 ENDOCRINOLOGY in OR

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Provider Addresses for LISA DRISCOLL MADISON (MD)

  • Child Development Rehabilitation Center, 707, Southwest Gaines Street, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    CDRC-P

    PORTLAND, OR 972392901

    Phone:

    Type: Mailing

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 418-5710

    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: 2010-09-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061019000659IEndocrinologyORTBD
I20100902000150IEndocrinologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is LISA DRISCOLL MADISON (MD)'s NPI number?
LISA DRISCOLL MADISON (MD)'s NPI is 1649291576 — the number used across U.S. healthcare to identify this provider.
Is LISA DRISCOLL MADISON (MD) shown as active in public data?
Registry records indicate LISA DRISCOLL MADISON (MD) maintains an active NPI.
What kind of doctor is LISA DRISCOLL MADISON (MD)?
LISA DRISCOLL MADISON (MD) is associated with Pediatric Endocrinology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LISA DRISCOLL MADISON (MD)?
Directory geography for LISA DRISCOLL MADISON (MD) centers on Portland, Oregon.
Can I trust this NPI listing for LISA DRISCOLL MADISON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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