ELISE LEWIS
NPI 1053440016
Family Medicine in Martinez, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 370-5110(925) 370-5142 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elise Lewis NPPES

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

ELISE LEWIS (NPI 1053440016) is an individual family medicine provider in Martinez, California, licensed in California (A80179) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2001).

NPPES Registry Identity

NPI1053440016
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELISE LEWIS
Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156
Mailing Address50 Douglas Dr, Suite 391Martinez, CA 94553-4098 · (925) 957-5429 · Fax (925) 957-5401
Fax(925) 370-5142
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2001
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053440016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A80179
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.
2500 ALHAMBRA AVE, Martinez, CA 94553

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

Elise Lewis 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 ID9739155581
PECOS Enrollment IDI20040902001512
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
180 services178 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services28 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Appropriate Testing for Pharyngitis
98%55 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
57%60 patients3/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
2%48 patients
Breast Cancer Screening
82%136 patients4/55-star benchmark: 93%
Cervical Cancer Screening
59%263 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
43%30 patients
Colorectal Cancer Screening
59%278 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
79%136 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
27%44 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%44 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%658 patients4/55-star benchmark: 100%
e-Prescribing
100%262 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
56%180 patients3/55-star benchmark: 100%
HIV Screening
36%498 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%582 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%481 patients2/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
100%345 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%150 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Student in an Organized Health Care Education/Training Program
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Dentist
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
General Practice
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Surgery
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Otolaryngology
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Psychiatry & Neurology (Psychiatry)
2500 ALHAMBRA AVE, PES
MARTINEZ, CA 94553

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 Elise Lewis's NPI number?

The NPI number for Elise Lewis is 1053440016. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Elise Lewis located?

Elise Lewis practices at 2500 Alhambra Ave, Martinez, CA 94553. The listed phone number is (925) 370-5110.

What is Elise Lewis's specialty?

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

Is Elise Lewis enrolled in Medicare?

Yes. Elise Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elise Lewis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.