LISA ANN MEDVETZ (MD) – Surgery Physician, NPI 1467451823
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for LISA ANN MEDVETZ (MD)
600 Maple Ave Ste 1
Honesdale, PA 184311436
Phone: (570) 253-8635
Type: Location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
Type: Location
500, Grove Street, Haddon Heights, Camden County, New Jersey, 08035, United States
SUITE 100
HADDON HEIGHTS, NJ 080351761
Phone: (856) 796-9200
Fax: (856) 796-9397
Type: Mailing
1113, Hospital Drive, Buckingham Park, Willingboro, Willingboro Township, Burlington County, New Jersey, 08046, United States
SUITE 100
WILLINGBORO, NJ 080461103
Phone: (609) 835-5821
Fax: (609) 835-5827
Type: Location
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 $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-04-03 • Largest payer in this snapshot: Eisai Inc. ($18).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $18 |
| EMD Serono, Inc. | $14 |
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: 2024-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050425000579 | I | General Surgery | PA | TBD |
| I20181022001250 | I | General Surgery | KY | TBD |
| I20240503002429 | I | General Surgery | WV | TBD |
| I20240722001409 | I | General Surgery | NH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 14 | $0 |
Insurance plans in this area (ZIP 18431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Physician Assistant | WV | |
| Nurse Practitioner | WV | |
| Internal Medicine | WV | |
| Nurse Practitioner | VA | |
| P O D I A T R Y | OH | |
| Physician Assistant | VA | |
| Physician Assistant | VA | |
| Emergency Medicine | WV | |
| Nurse Practitioner | WV |
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