LISA JOHNSON KIRK (D.O.) – Family Medicine Physician, NPI 1578562146

LISA JOHNSON KIRK (D.O.) is a healthcare provider. based in Waco, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. K3775 (TX). The NPI Number for LISA JOHNSON KIRK (D.O.) is 1578562146

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LISA JOHNSON KIRK (D.O.)
NPI
1578562146
Phone
(254) 776-8008
Address
318 RICHLAND WEST CIRCLE
Enumeration Date
18 July 2005
Last Update Date
26 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2547768008
Graduation Year
1996 (30 years ago)
PAC ID
8123017308
Group Practice PAC ID
5092150714
Professional Enrollment ID
I20100921000573
Address ID
TX767127912WA318XXCIRX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for LISA JOHNSON KIRK (D.O.)

  • 318, Richland West Circle, Waco, McLennan County, Texas, 76712, United States

    SUITE A

    WACO, TX 767127919

    Phone: (254) 776-8008

    Fax: (254) 776-6892

    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 38 Open Payments records for all available years, with a total value of $648.

Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Lilly USA, LLC ($239).

Total Amount

$648

General + Research + Ownership

Payments

38

Total payment records

General Amount

$648

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2010-09-21

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
I20100921000573IFamily PracticeTXTBD

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
95004Test for allergy using allergenic extract5,69079$0
J3490Unclassified drugs1,83976$0
96375Injection of additional new drug or substance into vein1,08373$0
96367Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less85166$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less67178$0
View full utilization report →

Insurance plans in this area (ZIP 76712)

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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: 5092150714View full group profile
NameSpecialtyState
Internal MedicineLA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to LISA JOHNSON KIRK (D.O.)?
The federal identifier for LISA JOHNSON KIRK (D.O.) is NPI 1578562146.
Does this profile mean LISA JOHNSON KIRK (D.O.) is currently active?
Yes — LISA JOHNSON KIRK (D.O.) appears active in the national provider directory.
What field does LISA JOHNSON KIRK (D.O.) work in?
You can think of LISA JOHNSON KIRK (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for LISA JOHNSON KIRK (D.O.)?
We surface Waco, Texas for LISA JOHNSON KIRK (D.O.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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