Active NPI 1629148945 Individual Practitioner Male Practitioner

Dr. David Lisan , DO

General Practice • Penn Valley, PA

Professional Overview & Biography Verified Profile Summary

Dr. David Lisan, DO is a registered healthcare professional specializing in General Practice in Penn Valley, PA. Practice services are available at 913 MONTGOMERY AVE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for new patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

913 Montgomery Ave

Penn Valley, PA 190721501

Telephone 6106643400

Fax 6106648482

Associated Practice Facility / Clinic

🏢 Advanced Physical Therapy Associates, Ltd. Facility NPI 1063448793

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Penn Valley, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 29.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Penn Valley, PA (434 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.3% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	49	14	$8.57	$7.08
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	30	30	$183.99	$131.85
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	23	23	$110.92	$79.98
17000 Destruction of skin growth	20	20	$86.51	$60.56
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	17	17	$109.53	$78.71
17110 Destruction of up to 14 skin growths	11	11	$150.73	$121.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	170	47	$7.57	$7.33
99336 Established patient assisted living visit, typically 40 minutes	106	78	$151.05	$139.83
99325 New patient assisted living visit, typically 30 minutes	87	87	$88.71	$81.70
17000 Destruction of skin growth	85	71	$75.70	$65.09
99335 Established patient assisted living visit, typically 25 minutes	79	48	$106.74	$98.87
17110 Destruction of up to 14 skin growths	50	44	$127.48	$122.78
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	35	35	$86.49	$79.61
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	33	30	$143.63	$133.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	26	$101.46	$94.51
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	31	24	$93.29	$86.39
99324 New patient assisted living visit, typically 20 minutes	27	27	$60.65	$56.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	15	$77.00	$71.68
11102 Tangential biopsy of single skin lesion	16	16	$115.44	$105.36
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	12	12	$99.80	$92.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	61	16	$7.26	$7.18
17110 Destruction of up to 14 skin growths	32	31	$127.06	$126.17
99325 New patient assisted living visit, typically 30 minutes	32	32	$89.07	$83.96
99335 Established patient assisted living visit, typically 25 minutes	29	25	$107.25	$101.57
99336 Established patient assisted living visit, typically 40 minutes	28	28	$151.91	$143.80
17000 Destruction of skin growth	25	25	$74.12	$62.57
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	21	$144.81	$137.19
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	20	20	$100.63	$94.94
99324 New patient assisted living visit, typically 20 minutes	18	18	$60.78	$57.35
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	18	$86.49	$81.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$77.26	$73.65
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	14	$94.07	$88.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	11	11	$101.94	$96.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	49	17	$6.70	$6.49
17000 Destruction of skin growth	35	32	$73.42	$66.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$122.62	$116.00
99336 Established patient assisted living visit, typically 40 minutes	23	23	$153.62	$142.64
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$84.39	$80.05
99335 Established patient assisted living visit, typically 25 minutes	21	19	$108.70	$100.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$50.94	$48.87
99324 New patient assisted living visit, typically 20 minutes	19	19	$62.28	$57.79
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$85.47	$81.36
17110 Destruction of up to 14 skin growths	14	14	$124.98	$121.49
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	13	12	$68.69	$64.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	284	70	$6.35	$6.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	133	$123.08	$115.46
17000 Destruction of skin growth	165	132	$73.70	$60.96
99336 Established patient assisted living visit, typically 40 minutes	142	108	$155.40	$143.50
17110 Destruction of up to 14 skin growths	87	73	$123.64	$116.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	62	$50.59	$48.08
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	64	55	$69.07	$63.84
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$83.93	$78.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$122.65	$115.75
99335 Established patient assisted living visit, typically 25 minutes	54	38	$108.97	$100.52
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$86.19	$81.41
99324 New patient assisted living visit, typically 20 minutes	41	41	$63.48	$58.60
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	35	$103.36	$95.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	24	$104.64	$97.09
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	28	23	$50.32	$46.56
99326 New patient assisted living visit, typically 45 minutes	28	28	$159.72	$147.09
11102 Tangential biopsy of single skin lesion	28	28	$110.73	$89.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	16	$78.66	$72.93
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$51.52	$49.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	249	65	$8.97	$5.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	126	$119.59	$114.10
99336 Established patient assisted living visit, typically 40 minutes	180	114	$149.85	$143.17
17000 Destruction of skin growth	157	123	$82.41	$59.50
17110 Destruction of up to 14 skin growths	93	79	$124.17	$119.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$120.44	$115.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	77	49	$100.96	$96.96
99326 New patient assisted living visit, typically 45 minutes	56	56	$155.55	$147.00
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	44	32	$67.81	$63.53
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	37	37	$103.47	$96.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$48.71	$46.74
11100 Biopsy of single growth of skin and/or tissue	27	27	$116.48	$90.56
99324 New patient assisted living visit, typically 20 minutes	22	22	$62.49	$58.24
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	19	13	$142.31	$136.05
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$49.49	$47.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	14	$50.34	$47.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$196.46	$184.15
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$157.51	$152.15
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$180.21	$174.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	372	81	$12.44	$6.11
99336 Established patient assisted living visit, typically 40 minutes	225	121	$147.42	$141.87
17000 Destruction of skin growth	189	123	$90.39	$60.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	114	$118.09	$113.52
17110 Destruction of up to 14 skin growths	91	76	$123.07	$115.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$119.58	$114.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	48	$99.16	$96.19
99326 New patient assisted living visit, typically 45 minutes	67	67	$153.16	$146.60
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	40	25	$140.19	$135.33
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	37	37	$102.82	$96.09
11100 Biopsy of single growth of skin and/or tissue	35	35	$115.47	$87.38
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$157.26	$149.13
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	17	16	$66.38	$63.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$195.34	$187.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$48.05	$46.53

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA OS009840L

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License PA PT007501L

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL OS7820

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License PA DAPT001519

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License FL PT21515

Practice Associates & Co-Workers

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

1 Associated Practitioners

Michelle Mccormack

Physical Therapist

NPI 1659578904

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2016

Registered at 913 MONTGOMERY AVE, PENN VALLEY, PA 190721501 (Tel: 6106643400)

📍

Updated Business Mailing Address December 12, 2016

Registered at 913 MONTGOMERY AVE, PENN VALLEY, PA 190721501 (Tel: 6106643400)

👤

Provider Name / Credentials Updated December 12, 2016

Recorded as DAVID LISAN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

General Practice (License #OS009840L in PA)

🟢

Initial NPI Registration & Enumeration November 08, 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: 1629148945

Entity Type:

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

Enumeration Date: November 08, 2006

Last Update: December 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

913 Montgomery Ave

Penn Valley, PA 190721501

Phone: 6106643400

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.