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DR. RICHARD DEAN LISMAN M.D.,F.A.C.S
NPI 1043219900
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in New York, NY

Active since July 21, 2005Opted out of Medicare · through Jun 20, 2027
635 PARK AVE, NEW YORK, NY 10021(212) 585-1405(212) 585-1408 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Dean Lisman M.d.,f.a.c.s NPPES

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

DR. RICHARD DEAN LISMAN M.D.,F.A.C.S (NPI 1043219900) is an individual ophthalmic plastic and reconstructive surgery provider in New York, New York, licensed in New York (131130) and active in the NPI registry since July 2005. He has opted out of Medicare through June 20, 2027 and remains eligible to order and refer and is a graduate of New York University School Of Medicine (1976).

NPPES Registry Identity

NPI1043219900
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. RICHARD DEAN LISMANCredential: M.D.,F.A.C.S
Location Address635 PARK AVENew York, NY 10021-6546
Mailing Address635 Park AveNew York, NY 10021-6546 · (212) 585-1405 · Fax (212) 585-1408
Phone(212) 585-1405
Fax(212) 585-1408
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1976
Enumeration DateJuly 21, 2005
Last NPPES UpdateApril 29, 2016
✔ NPI 1043219900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in NY · 131130
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedSpecialistTaxonomy 174400000X · License 1311301 (NY)
Also ListedOphthalmologyTaxonomy 207W00000X · License 131130 (NY)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 131130 (NY)
635 PARK AVE, New York, NY 10021
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Other Identifiers 2

Medicare PIN331953NY
Medicare UPINB13181NY

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. Richard Dean Lisman M.d.,f.a.c.s 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 June 20, 2019 through June 20, 2027.

Opt-Out Effective DateJune 20, 2019
Opt-Out In Effect ThroughJune 20, 2027Opt-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 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Lisman's NPI number?

The NPI number for Richard Lisman is 1043219900. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Richard Lisman located?

Richard Lisman practices at 635 Park Ave, New York, NY 10021. The listed phone number is (212) 585-1405.

What is Richard Lisman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Richard Lisman enrolled in Medicare?

No. Richard Lisman has opted out of Medicare through June 20, 2027. 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.

When was this NPI record last updated?

The NPPES record for Richard Lisman was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.