DAVID LISAN (D.O.) – General Practice Physician, NPI 1629148945
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Doctor Profile
Profile Insights
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Provider Addresses for DAVID LISAN (D.O.)
913, East Montgomery Avenue, Wynnewood, Ardmore, Lower Merion Township, Montgomery County, Pennsylvania, 19072, United States
PENN VALLEY, PA 190721501
Phone: (610) 664-3400
Fax: (610) 664-8482
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 49 | 14 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 30 | 30 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 23 | 23 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 20 | 20 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 19072)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | PA | 17003 | Destruction of 2-14 skin growths | 450 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | FL | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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