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Active NPI 1124094958 Individual Practitioner Male Practitioner

Dr. Mark S Lisch , DPM

Podiatrist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Lisch, DPM is a registered healthcare professional specializing in Podiatrist in Fort Worth, TX. Practice services are available at 6816 SHADOW CREEK CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6816 Shadow Creek Ct

Fort Worth, TX 761324522

Telephone 8323686841

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
20 Specialists

Practicing in Fort Worth, TX (627 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.1% 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
88 69 $80.00 $54.77
99213 Established patient office or other outpatient visit, typically 15 minutes
65 55 $125.00 $89.05
11721 Removal of fingernails or toenails, 6 or more nails
60 48 $83.00 $43.65
97597 Removal of tissue from wound, 20.0 sq cm or less
43 17 $100.00 $98.53
73630 X-ray of foot, minimum of 3 views
39 28 $80.00 $33.33
93923 Complete ultrasound study of arm and leg arteries
24 24 $150.00 $128.76
95923 Testing of autonomic (sympathetic) nervous system function
14 14 $148.00 $128.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $150.00 $109.20

Medical Specialties & State Licenses

CMS Verified: 2021-10-04
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License TX 0787

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
085279001 (TX)
Medicaid State Provider ID
092841802 (TX)
Commercial Insurance / Payer ID Bcbs
82Y991 (TX)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 04, 2021

Registered at 6816 SHADOW CREEK CT, FORT WORTH, TX 761324522 (Tel: 8323686841)

📍
Updated Business Mailing Address October 04, 2021

Registered at PO BOX 16918, FORT WORTH, TX 761620918 (Tel: 3236868418)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2021

Podiatrist (License #0787 in TX)

NPI Profile Active May 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2013

Registered at 1740 W 27TH ST, SUITE 110, HOUSTON, TX 770081440 (Tel: 7138623357)

📍
Updated Business Mailing Address May 28, 2013

Registered at 1740 W 27TH ST, SUITE 110, HOUSTON, TX 770081440 (Tel: 7138623357)

👤
Provider Name / Credentials Updated May 28, 2013

Recorded as MARK LISCH, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2013

Podiatrist (License #0787 in TX)

🟢
Initial NPI Registration & Enumeration February 23, 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: 1124094958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: October 04, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 16918

Fort Worth, TX 761620918

Phone: 3236868418

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.