Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA S SPLITTSTOESSER M.D.
NPI 1124021944
Family Medicine in San Bernardino, CA

Active since May 24, 2005PECOS Enrolled
1700 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 883-8611 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, May 7, 2024 (2 updates tracked since 2024).

About Lisa S Splittstoesser M.d. NPPES

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

LISA S SPLITTSTOESSER M.D. (NPI 1124021944) is an individual family medicine provider in San Bernardino, California, licensed in California (A84544) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124021944
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA S SPLITTSTOESSERCredential: M.D.
Location Address1700 N WATERMAN AVESan Bernardino, CA 92404-5115
Mailing Address2560 Apapane StLihue, HI 96766-9611 · (808) 634-7006
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1124021944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A84544
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 MD27782 (ME), MD27782 (HI)
1700 N WATERMAN AVE, San Bernardino, CA 92404

Secondary Practice Locations 2

Location 119 Saint Andrews LnBoothbay Harbor, ME 04538-1732 · Phone (207) 633-7820 · Fax (207) 810-4966
Location 23-3420 Kuhio HwyLihue, HI 96766-1042 · Phone (808) 245-1504 · Fax (808) 246-1363

Other Identifiers 1

Other11865HI · State License

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 S Splittstoesser 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 ID8527964287
PECOS Enrollment IDI20070911000851
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.

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Internal Medicine
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Pharmacist
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Pharmacist
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Family Medicine
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Family Medicine
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Family Medicine
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Nurse Practitioner (Family)
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Nurse Practitioner (Family)
1700 N WATERMAN AVE
SAN BERNARDINO, CA 92404

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 Splittstoesser's NPI number?

The NPI number for Lisa Splittstoesser is 1124021944. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Lisa Splittstoesser located?

Lisa Splittstoesser practices at 1700 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-8611.

What is Lisa Splittstoesser's specialty?

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

Is Lisa Splittstoesser enrolled in Medicare?

Yes. Lisa Splittstoesser 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.

Is Lisa Splittstoesser affiliated with any hospitals?

According to CMS data, Lisa Splittstoesser is affiliated with Wilcox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Splittstoesser was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.