LISA ELAINE MEDWEDEFF (M.D.) – Internal Medicine Physician, NPI 1104827799

LISA ELAINE MEDWEDEFF (M.D.) is a healthcare provider. based in Plano, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. K1257 (TX). The NPI Number for LISA ELAINE MEDWEDEFF (M.D.) is 1104827799

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA ELAINE MEDWEDEFF (M.D.)
NPI
1104827799
Phone
(972) 608-3333
Address
5425 W SPRING CREEK PARKWAY SUITE 210
Enumeration Date
3 August 2005
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9726083333
Graduation Year
1994 (32 years ago)
PAC ID
1951459338
Group Practice PAC ID
6204984685
Professional Enrollment ID
I20090423000721
Address ID
TX750244241PL5425XPKWY501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for LISA ELAINE MEDWEDEFF (M.D.)

  • West Spring Creek Parkway, Plano, Collin County, Texas, 75074, United States

    PLANO, TX 75024

    Phone: (972) 608-3333

    Fax: (972) 473-7333

    Type: Mailing

  • 465 W President George Bush Hwy Ste 240

    Richardson, TX 750801188

    Phone: (469) 677-0267

    Fax: (469) 677-0247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 219 Open Payments records for all available years, with a total value of $4,150.

Total Amount is formed as General ($4,150) + Research ($0) + Ownership ($0) = $4,150.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($610).

Total Amount

$4,150

General + Research + Ownership

Payments

219

Total payment records

General Amount

$4,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2009-04-23

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
I20090423000721IInternal MedicineTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes675308$0
96127Assessment of emotional or behavioral problems514175$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes50673$0
99214Established patient office or other outpatient visit, 30-39 minutes498273$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days39264$0
View full utilization report →

Insurance plans in this area (ZIP 75024)

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Provider's Procedures

LISA ELAINE MEDWEDEFF (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX90670Pneumococcal vaccine for injection into muscle3434

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: 6204984685View full group profile
NameSpecialtyState
Internal MedicineTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify LISA ELAINE MEDWEDEFF (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104827799 for LISA ELAINE MEDWEDEFF (M.D.).
Does the public listing show LISA ELAINE MEDWEDEFF (M.D.) as active?
LISA ELAINE MEDWEDEFF (M.D.)'s NPI record reflects an active status in NPPES.
What services align with LISA ELAINE MEDWEDEFF (M.D.)'s listing?
LISA ELAINE MEDWEDEFF (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA ELAINE MEDWEDEFF (M.D.)?
LISA ELAINE MEDWEDEFF (M.D.) is associated with Plano, Texas in the same public data insurers reference.
Who maintains LISA ELAINE MEDWEDEFF (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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