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LISA RENEE CHACKO M.D., MPH
NPI 1104264654
Family Medicine in Gainesville, FL

Active since June 06, 2013PECOS Enrolled
1707 N MAIN ST, GAINESVILLE, FL 32609(352) 265-9593 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Sep 29, 2016 (2 updates tracked since 2016).

About Lisa Renee Chacko M.d., Mph NPPES

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

LISA RENEE CHACKO M.D., MPH (NPI 1104264654) is an individual family medicine provider in Gainesville, Florida, licensed in Florida (ME128039) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104264654
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA RENEE CHACKOCredential: M.D., MPH
Location Address1707 N MAIN STGainesville, FL 32609-3650
Mailing Address1600 Sw Archer Rd, Box 100383Gainesville, FL 32610-0383 · (352) 392-4541
Phone(352) 265-9593
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1104264654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME128039
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.
1707 N MAIN ST, Gainesville, FL 32609
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Other Identifiers 1

Medicaid018346000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 (PECOS)

Lisa Renee Chacko M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32609 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

DR. SAMUEL TRINGALI DO
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
DR. MATTHEW S JORGENSEN DO
Student in an Organized Health Care Education/Training Program
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-1234
DR. SCOTT GAVIN GARLAND PHARMD
Pharmacist (Ambulatory Care)
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9553
JOANNE ZHAO
Student in an Organized Health Care Education/Training Program
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
DR. DANIELLE SUSANNE NELSON MD
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-7001
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-7922
DR. JASON ROBERT KONOPACK M.D.
Family Medicine
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9593
ELIZABETH LOPEZ MD
Student in an Organized Health Care Education/Training Program
1707 N MAIN ST
GAINESVILLE, FL 32609
Alachua County (352) 265-9592

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 Lisa Chacko's NPI number?

The NPI number for Lisa Chacko is 1104264654. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Lisa Chacko located?

Lisa Chacko practices at 1707 N Main St, Gainesville, FL 32609. The listed phone number is (352) 265-9593.

What is Lisa Chacko's specialty?

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

Is Lisa Chacko enrolled in Medicare?

Yes. Lisa Chacko is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Chacko accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Lisa Chacko 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.

When was this NPI record last updated?

The NPPES record for Lisa Chacko was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.