DR. LISA P. ZWERDLINGER M.D.
NPI 1013998095
Family Medicine in Leadville, CO

Q: What is Lisa Zwerdlinger's NPI number?

The NPI number for Lisa Zwerdlinger is 1013998095. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Lisa Zwerdlinger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Lisa Zwerdlinger enrolled in Medicare?

No. Lisa Zwerdlinger has opted out of Medicare through December 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lisa Zwerdlinger was last updated on November 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2005Opted out of Medicare · through Dec 7, 2026

62.62/100

CMS Quality Rating

735 US HIGHWAY 24, LEADVILLE, CO 80461(719) 486-0500(719) 486-3966 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Lisa P. Zwerdlinger M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA P. ZWERDLINGER M.D. (NPI 1013998095) is an individual family medicine provider in Leadville, Colorado, licensed in Colorado (35578) and active in the NPI registry since November 2005. She has opted out of Medicare through December 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013998095

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA P. ZWERDLINGERCredential: M.D.

Location Address735 US HIGHWAY 24Leadville, CO 80461-3978

Mailing Address735 Us Highway 24Leadville, CO 80461-3978 · (719) 486-0500 · Fax (719) 486-3966

Phone(719) 486-0500

Fax(719) 486-3966

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateNovember 20, 2009

✔ NPI 1013998095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · 35578

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

735 US HIGHWAY 24, Leadville, CO 80461

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Other Identifiers 2

Medicare PINC801830

Medicare UPING39570CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa P. Zwerdlinger M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 7, 2022 through December 7, 2026.

Opt-Out Effective DateDecember 7, 2022

Opt-Out In Effect ThroughDecember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.54

Improvement Activities

Cost

18.43

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers21 claims69 services$5.97 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$68.28 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers129 claims129 services$19.46 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier35 claims35 services$8.34 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers27 claims28 services$39.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers371 claims371 services$107.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER PENCE PA-C

Physician Assistant