DR. JEFFREY R LISH (M.D.) – Family Medicine Physician, NPI 1003848797

DR. JEFFREY R LISH (M.D.) is a healthcare provider. based in Brigham city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 178575-1205 (UT). The NPI Number for DR. JEFFREY R LISH (M.D.) is 1003848797

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY R LISH (M.D.)
NPI
1003848797
Phone
(435) 723-5248
Address
984 MEDICAL DR STE 1
Enumeration Date
6 July 2006
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357235248
Graduation Year
1987 (39 years ago)
PAC ID
3375435357
Group Practice PAC ID
9931000460
Professional Enrollment ID
I20040325001053
Address ID
UT843024712BR984XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. JEFFREY R LISH (M.D.)

  • 984 MEDICAL DR STE 1

    BRIGHAM CITY, UT 843024712

    Phone: (435) 723-5248

    Fax: (435) 723-5240

    Type: Mailing

  • 1041 S MEDICAL DR STE 200

    BRIGHAM CITY, UT 843023293

    Phone: (435) 723-5248

    Fax: (435) 723-5240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,077.

Total Amount is formed as General ($1,077) + Research ($0) + Ownership ($0) = $1,077.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($356).

Total Amount

$1,077

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,077

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2004-03-25

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
I20040325001053IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes214123$0
99213Established patient office or other outpatient visit, 20-29 minutes11779$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10621$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8080$0
96372Injection of drug or substance under skin or into muscle3414$0
View full utilization report →

Insurance plans in this area (ZIP 84302)

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Provider's Procedures

DR. JEFFREY R LISH (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEUT20610Aspiration and/or injection of large joint or joint capsule2011
FAMILY MEDICINEUT85610Blood test, clotting time17342

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: 9931000460View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
Family PracticeID
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Internal MedicineUT
Family PracticeUT
Family PracticeUT
Physician AssistantVA

Reviews

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Frequently asked questions

What identifier follows DR. JEFFREY R LISH (M.D.) across health systems?
The NPI 1003848797 uniquely identifies DR. JEFFREY R LISH (M.D.) in U.S. healthcare data.
Should I treat DR. JEFFREY R LISH (M.D.) as an active provider?
Patients and plans typically see DR. JEFFREY R LISH (M.D.) as active in the national extract.
What type of care does DR. JEFFREY R LISH (M.D.) provide?
DR. JEFFREY R LISH (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEFFREY R LISH (M.D.)?
The directory associates DR. JEFFREY R LISH (M.D.) with Brigham City, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JEFFREY R LISH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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