LISA A FRALEIGH (D.O.) – Psychiatry Physician, NPI 1558478115
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PSYCHIATRY in UT
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Provider Addresses for LISA A FRALEIGH (D.O.)
112 E 100 N STE A
LOGAN, UT 843214602
Phone: (435) 213-3797
Fax: (435) 213-9581
Type: Mailing
112, East 100 North, Logan, Cache County, Utah, 84321, United States
SUITE A
LOGAN, UT 843214638
Phone: (435) 213-3797
Fax: (435) 213-9581
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $4,043.
Total Amount is formed as General ($4,043) + Research ($0) + Ownership ($0) = $4,043.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Neuronetics, Inc. ($1,832).
Total Amount
$4,043
General + Research + Ownership
Payments
93
Total payment records
General Amount
$4,043
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
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: 2025-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150512002724 | I | Psychiatry | UT | TBD |
| I20250626001907 | I | Psychiatry | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Mental Health Counselor | UT | |
| Nurse Practitioner | ID | |
| Marriage And Family Therapist | CO | |
| Physician Assistant | ID | |
| Marriage And Family Therapist | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID |
Reviews
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