LISA A OLSON-GUGERTY NP
NPI 1083902027
Nurse Practitioner - Family in Vestal, NY

Q: What is Lisa Olson-gugerty's NPI number?

The NPI number for Lisa Olson-gugerty is 1083902027. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Lisa Olson-gugerty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment

95.21/100

CMS Quality Rating

4417 VESTAL PKWY E, VESTAL, NY 13850(607) 729-2144 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa A Olson-gugerty Np NPPES

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

LISA A OLSON-GUGERTY NP (NPI 1083902027) is an individual family provider in Vestal, New York, licensed in New York (336857) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083902027

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA A OLSON-GUGERTYCredential: NP

Location Address4417 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address82 Copeland AveHomer, NY 13077-1528 · (607) 749-2640 · Fax (607) 749-2644

Phone(607) 729-2144

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2011

Enumeration DateJuly 12, 2011

Last NPPES UpdateMay 13, 2026

NPPES CertifiedMay 13, 2026

✔ NPI 1083902027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 336857

4417 VESTAL PKWY E, Vestal, NY 13850

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Secondary Practice Locations 2

Location 182 Copeland AveHomer, NY 13077-1528 · Phone (607) 749-2640 · Fax (607) 749-2644

Location 21302 E Main StEndicott, NY 13760-5430 · Phone (607) 754-7171

Other Identifiers 1

Medicaid03411983NY

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

Lisa A Olson-gugerty Np 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 ID6406029024

PECOS Enrollment IDI20111027000058

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 3

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.

125 services125 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.

111 services108 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.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330307

Location101 Dates DriveIthaca, NY 14850 · Tompkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.21/100

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

Scored through an Alternative Payment Model

Quality

84.69

Promoting Interoperability

100

Improvement Activities

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.

DENNIS PERENYI MD

Obstetrics & Gynecology

4417 VESTAL PKWY E, OB/GYN
VESTAL, NY 13850

Broome County (607) 797-4496

WAYNE TERIS MD

Family Medicine (Sports Medicine)