Active NPI 1346356524 Individual Practitioner Female Practitioner

Cathy Diane Lisenby , PA-C

Physician Assistant • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Cathy Lisenby, PA-C is a registered healthcare professional specializing in Physician Assistant in Mount Vernon, IL. Practice services are available at 2 GOOD SAMARITAN WAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Good Samaritan Way

Mount Vernon, IL 628642408

Telephone 6188994000

Fax 6188994790

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Mt Vernon, Ltd Facility NPI 1790827491

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mount Vernon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Mount Vernon, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	171	$275.00	$107.80
36415 Insertion of needle into vein for collection of blood sample	185	82	$20.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$205.00	$111.49
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$158.78	$76.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	11	$59.00	$11.74
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	24	$39.00	$20.45
G0008 Administration of influenza virus vaccine	25	24	$52.00	$16.21
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$100.00	$12.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	526	180	$242.95	$90.13
36415 Insertion of needle into vein for collection of blood sample	191	82	$20.00	$2.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	50	47	$39.00	$18.29
G0008 Administration of influenza virus vaccine	50	47	$30.44	$15.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$195.00	$97.35
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$153.75	$62.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$290.00	$143.75
G0009 Administration of pneumococcal vaccine	26	25	$34.85	$16.10
81003 Automated urinalysis test	25	23	$28.00	$2.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$142.30	$118.32
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$90.67	$14.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	664	192	$210.37	$89.69
36415 Insertion of needle into vein for collection of blood sample	295	132	$19.00	$2.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	62	60	$37.81	$18.65
G0008 Administration of influenza virus vaccine	62	60	$20.00	$15.85
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$140.76	$61.47
G0009 Administration of pneumococcal vaccine	32	32	$23.00	$15.85
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$76.00	$13.75
81003 Automated urinalysis test	19	17	$28.00	$2.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$126.33	$109.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$195.00	$96.00
90670 Pneumococcal vaccine for injection into muscle	14	14	$256.43	$206.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$290.00	$142.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	170	$210.00	$88.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	148	$155.37	$65.82
36415 Insertion of needle into vein for collection of blood sample	195	119	$19.00	$2.94
G0008 Administration of influenza virus vaccine	40	40	$20.00	$19.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	40	$34.00	$18.65
G0009 Administration of pneumococcal vaccine	22	22	$23.00	$19.39
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$97.91	$42.37
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$76.00	$13.87
81003 Automated urinalysis test	20	20	$28.00	$2.71
90670 Pneumococcal vaccine for injection into muscle	18	18	$249.00	$201.01
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$138.00	$57.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	156	$171.89	$65.14
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$109.02	$42.48

Medical Specialties & State Licenses

CMS Verified: 2020-12-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 0850001397

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Taylor Rapp

Physician Assistant

NPI 1134077548

Dr. Daniel Hoffman , MD

Internal Medicine

NPI 1134147432

Doctor of Medicine (M.D.)

Dr. Prateek Srinet , MD

Otolaryngology

NPI 1144541772

Doctor of Medicine (M.D.)

Dr. Olufeyisayo Taiwo , MD

Obstetrics & Gynecology

NPI 1194108712

Doctor of Medicine (M.D.)

Sharron Gingrich , NP

Nurse Practitioner

NPI 1205821923

Nurse Practitioner

Dr. Jose Amorado , MD

Internal Medicine

NPI 1285674598

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2018

Registered at 2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 628642408 (Tel: 6188994000)

📍

Updated Business Mailing Address January 04, 2018

Registered at 5100 LAKE TER NE STE WC, MOUNT VERNON, IL 628649665 (Tel: 6188995001)

👤

Provider Name / Credentials Updated January 04, 2018

Recorded as CATHY LISENBY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Physician Assistant (License #0850001397 in IL)

✅

NPI Profile Active July 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2012

Registered at 5100 LAKE TER NE STE WC, MOUNT VERNON, IL 628649665 (Tel: 6188995001)

📍

Updated Business Mailing Address July 17, 2012

Registered at 5100 LAKE TER NE STE WC, MOUNT VERNON, IL 628649665 (Tel: 6188995001)

👤

Provider Name / Credentials Updated July 17, 2012

Recorded as CATHY LISENBY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2012

Physician Assistant (License #0850001397 in IL)

🟢

Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346356524

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 21, 2006

Last Update: December 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5100 Lake Ter Ne Ste Wc

Mount Vernon, IL 628649665

Phone: 6188995001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.