LISA WAMACK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1609891530

LISA WAMACK (DPM) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 590 (TN). The NPI Number for LISA WAMACK (DPM) is 1609891530

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA WAMACK (DPM)
NPI
1609891530
Phone
(423) 698-4899
Address
721 GLENWOOD DR STE W562
Enumeration Date
13 July 2006
Last Update Date
8 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236984899
Graduation Year
1999 (27 years ago)
PAC ID
4183607161
Professional Enrollment ID
I20040610001747
Address ID
TN374063402CH2707XAVEX300
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

231 PODIATRY in TN

Provider Addresses for LISA WAMACK (DPM)

  • 721 GLENWOOD DR STE W562

    CHATTANOOGA, TN 374041129

    Phone: (423) 698-4899

    Fax: (423) 698-8269

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($45).

Total Amount

$164

General + Research + Ownership

Payments

6

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-10

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
I20040610001747IPodiatryTNTBD

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
11721Removal of fingernails or toenails, 6 or more nails966354$0
99213Established patient office or other outpatient visit, 20-29 minutes263188$0
99203New patient office or other outpatient visit, 30-44 minutes248248$0
73630X-ray of foot, minimum of 3 views7352$0
11750Permanent removal fingernail or toenail4737$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Provider's Procedures

LISA WAMACK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTN73630X-ray of foot, minimum of 3 views12685

Reviews

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Frequently asked questions

What is the standard ID for LISA WAMACK (DPM) in the U.S.?
In the U.S., LISA WAMACK (DPM) is identified by NPI 1609891530.
Should I treat LISA WAMACK (DPM) as an active provider?
Patients and plans typically see LISA WAMACK (DPM) as active in the national extract.
What type of care does LISA WAMACK (DPM) provide?
LISA WAMACK (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA WAMACK (DPM)?
LISA WAMACK (DPM) shows a connection to Chattanooga, Tennessee in registry-derived data.
Why is information missing for LISA WAMACK (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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