LISA KOROPCHAK – Physician Assistant, NPI 1366438699

LISA KOROPCHAK is a healthcare provider. based in Williamsport, Pennsylvania. specializing in Physician Assistant. They hold a License No. MA003368L (PA). The NPI Number for LISA KOROPCHAK is 1366438699

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA KOROPCHAK
NPI
1366438699
Phone
Not provided
Address
1201 GRAMPIAN BLVD
Enumeration Date
22 September 2005
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703212800
Graduation Year
2000 (26 years ago)
PAC ID
5991749061
Group Practice PAC ID
2264336460
Professional Enrollment ID
I20050620000522

Contacts

Secure Messaging
lisa.a.koropchak@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

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Provider Addresses for LISA KOROPCHAK

  • 1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    SUITE 2001

    WILLIAMSPORT, PA 177011900

    Phone:

    Type: Mailing

  • 740, High Street, Park Avenue, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    SUITE 2001

    WILLIAMSPORT, PA 177013102

    Phone: (570) 321-2800

    Type: Location

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (833) 552-1852

    Fax: (570) 214-1523

    Type: Mailing

  • 255 ROUTE 220 HWY STE 205

    MUNCY, PA 177567568

    Phone: (833) 552-1852

    Fax: (570) 214-1523

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$209

General + Research + Ownership

Payments

6

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050620000522IPhysician AssistantPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes574347$0
99443Telephone medical discussion with physician, 21-30 minutes3837$0
99213Established patient office or other outpatient visit, 20-29 minutes2827$0
99442Telephone medical discussion with physician, 11-20 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 17701)

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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: 2264336460View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
-ME
Pulmonary Disease, Critical Care (Intensivists)PA
-PA
Vascular SurgeryNY
Cardiovascular Disease (Cardiology)NM
Certified Registered Nurse Anesthetist (Crna)PA
Emergency MedicinePA

Reviews

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Frequently asked questions

What federal number belongs to LISA KOROPCHAK?
The federal identifier for LISA KOROPCHAK is NPI 1366438699.
Is LISA KOROPCHAK currently active in the NPI registry?
CMS-published data lists LISA KOROPCHAK as an active registrant.
What kind of provider is LISA KOROPCHAK?
The page reflects Physician Assistant for LISA KOROPCHAK. Clinical services aligned with this taxonomy classification.
Where does public data place LISA KOROPCHAK?
The snapshot lists Williamsport, Pennsylvania for LISA KOROPCHAK; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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