DR. LISA LYNNE BUTENHOFF CAMPBELL (M.D.) – Dermatology Physician, NPI 1124145040
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
339 DERMATOLOGY in WI
Provider Addresses for DR. LISA LYNNE BUTENHOFF CAMPBELL (M.D.)
3935 N Lightning Dr
Appleton, WI 549136717
Phone: (920) 968-1790
Fax: (920) 968-1794
Type: Location
5501A Vern Holmes Dr
Stevens Point, WI 544829791
Phone: (715) 344-0172
Fax: (715) 344-3684
Type: Location
510 N 17th Ave Ste C
Wausau, WI 544014281
Phone: (715) 849-5333
Fax: (715) 849-4083
Type: Location
2351 State Road 44
Oshkosh, WI 549046333
Phone: (920) 651-8855
Fax: (920) 385-0287
Type: Location
3500 Ludington St Ste 300
Escanaba, MI 498294218
Phone: (906) 553-6093
Fax: (906) 553-6958
Type: Location
715 Superior Rd Ste 120
Green Bay, WI 543117595
Phone: (920) 406-9803
Fax: (920) 406-9934
Type: Location
1610 Maxwell Dr Ste 210
Hudson, WI 540164004
Phone: (715) 386-5278
Fax: (715) 386-5508
Type: Location
500 Campus Dr
Hancock, MI 499301452
Phone: (906) 523-2223
Fax: (906) 523-2227
Type: Location
1007 Harbor Hills Dr Ste C
Marquette, MI 498558977
Phone: (906) 225-5458
Fax: (906) 225-1179
Type: Location
2806 Riverview Dr
Green Bay, WI 543136717
Phone: (920) 498-7546
Fax: (920) 569-4129
Type: Location
3515 Murray St
Marinette, WI 541433367
Phone: (715) 732-0699
Fax: (715) 732-3522
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
1400 SCHEURING RD
DE PERE, WI 541151067
Phone: (920) 964-0229
Fax: (920) 686-9674
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $1,516.
Total Amount is formed as General ($1,516) + Research ($0) + Ownership ($0) = $1,516.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($372).
Total Amount
$1,516
General + Research + Ownership
Payments
87
Total payment records
General Amount
$1,516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $372 |
| Regeneron Healthcare Solutions, Inc. | $295 |
| Janssen Biotech, Inc. | $240 |
| Lilly USA, LLC | $119 |
| Novartis Pharmaceuticals Corporation | $80 |
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: 2014-07-28
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 |
|---|---|---|---|---|
| I20090325000700 | I | Dermatology | WI | TBD |
| I20140728000606 | I | Dermatology | MI | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 552 | 449 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 284 | 177 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 97 | 94 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 84 | 78 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 77 | 26 | $0 |
Insurance plans in this area (ZIP 54913)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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