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DR. RAPHAEL ALEXANDER LIZCANO III M.D.
NPI 1053755819
Internal Medicine - Hematology & Oncology in Lebanon, NH

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINE, LEBANON, NH 03756(603) 653-9500 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Jun 29, 2018, Jun 30, 2016 (3 updates tracked since 2016).

About Dr. Raphael Alexander Lizcano Iii M.d. NPPES

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

DR. RAPHAEL ALEXANDER LIZCANO III M.D. (NPI 1053755819) is an individual hematology & oncology provider in Lebanon, New Hampshire, licensed in New Hampshire (17634) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2013).

NPPES Registry Identity

NPI1053755819
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RAPHAEL ALEXANDER LIZCANO IIICredential: M.D.
Location Address1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINELebanon, NH 03756-1000
Mailing Address1 Medical Center Dr, Dhmc Department Of MedicineLebanon, NH 03756-1000 · (603) 653-9500
Phone(603) 653-9500
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1053755819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NH · 17634
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 17634 (NH), 274396 (MA)
1 MEDICAL CENTER DR, Lebanon, NH 03756
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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

Dr. Raphael Alexander Lizcano Iii 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 ID4183910904
PECOS Enrollment IDI20160902001801
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
204 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services55 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 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.
44 services31 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
28 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Gifford Medical Center

Critical Access Hospitals · Randolph, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471301
Location44 South Main StreetRandolph, VT 05060 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$174.26 typical visit price
range $57.75 – $174.26
Typical copayment $43.56 (range $14.43 – $43.56)
Most-billed visit code 99205
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

MRS. JANICE M BRENNAN APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Grafton County (603) 560-5000
MS. SHELLEY GRACE BENSON R.PH.
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5417
ELIAS LOUKAS M.D.
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Grafton County (603) 650-8380
SARAH S SEO MD
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Grafton County (603) 650-8123
DR. SRINIVAS J. IVATURY MD
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Grafton County (603) 650-8113
TIMOTHY EARLEY D.O.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (201) 694-0663
HANNAH ELIZABETH FOOTE BENSIMHON M.D.
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
EMILE JOSEPH HASAN M.D.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Raphael Lizcano's NPI number?

The NPI number for Raphael Lizcano is 1053755819. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Raphael Lizcano located?

Raphael Lizcano practices at 1 Medical Center Dr Dhmc Department Of Medicine, Lebanon, NH 03756. The listed phone number is (603) 653-9500.

What is Raphael Lizcano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Raphael Lizcano enrolled in Medicare?

Yes. Raphael Lizcano 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.

What insurance does Raphael Lizcano accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Raphael Lizcano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raphael Lizcano affiliated with any hospitals?

According to CMS data, Raphael Lizcano is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital, Alice Peck Day Memorial Hospital, Rutland Regional Medical Center and Gifford Medical Center.

When was this NPI record last updated?

The NPPES record for Raphael Lizcano was last updated on November 7, 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.