LISA KAY HOLBROOK (MD) – Family Medicine Physician, NPI 1083647762
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for LISA KAY HOLBROOK (MD)
101 NW 12th Ave Ste 107
Battle Ground, WA 986049141
Phone: (360) 666-4480
Type: Location
2101 NE 139th St Ste 450
Vancouver, WA 98686
Phone: (360) 487-4848
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
PO BOX 2077
PORTLAND, OR 972082077
Phone:
Type: Mailing
3101 SE 192ND AVE STE 103
VANCOUVER, WA 986831443
Phone: (360) 666-4480
Type: Location
The Vancouver Clinic | Salmon Creek 2, 2529, Northeast 139th Street, Mount Vista, Fairgrounds, Vancouver, Clark County, Washington, 98686, United States
STE 206
VANCOUVER, WA 986852519
Phone: (360) 433-0022
Fax: (360) 433-6159
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051024001063 | I | Family Practice | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 66 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 27 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 31 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| Nurse Practitioner | SD | |
| - | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR |
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