LISABETH CARLISLE KELLY M.D.
NPI 1043473796
Family Medicine in Spokane, WA

Q: What is Lisabeth Kelly's NPI number?

The NPI number for Lisabeth Kelly is 1043473796. It was assigned to this individual provider in the NPPES registry on July 2, 2008. The provider is also known as Lisabeth Carlisle M.D..

Q: What is Lisabeth Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisabeth Kelly was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment

87.18/100

CMS Quality Rating

3919 N MAPLE ST, SPOKANE, WA 99205(509) 444-8200 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Jul 10, 2023 (2 updates tracked since 2023).

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About Lisabeth Carlisle Kelly M.d. NPPES

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

LISABETH CARLISLE KELLY M.D. (NPI 1043473796) is an individual family medicine provider in Spokane, Washington, licensed in Washington (MD61467593) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2008).

NPPES Registry Identity

NPI1043473796

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISABETH CARLISLE KELLYCredential: M.D.

Location Address3919 N MAPLE STSpokane, WA 99205-1349

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888

Phone(509) 444-8200

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2008

Enumeration DateJuly 2, 2008

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1043473796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD61467593

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License A110776 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3919 N MAPLE ST, Spokane, WA 99205

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Other Names 1

Former Name (1)Lisabeth Carlisle M.d.

Secondary Practice Location 1

Location 13291 Loma Vista RdVentura, CA 93003-3099 · Phone (805) 652-6228

Other Identifiers 1

OtherA110776CA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisabeth Carlisle Kelly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345410130

PECOS Enrollment IDI20110906000312, I20231005000188

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99205 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

87.18/100

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

Scored as part of a group practice

Quality

84.09

Promoting Interoperability

100

Improvement Activities

Cost

56.53

Referred Medical Equipment & Supplies CMS DME claims

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

6 suppliers23 claims50 services$3.11 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 20

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

KATHRYN KAYSER PHARMD

Pharmacist