DR. LISA M DERR D.O.
NPI 1124218540
Surgery in Elizabeth, NJ

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
240 WILLIAMSON ST, STE 104, ELIZABETH, NJ 07202(908) 994-5480 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa M Derr D.o. NPPES

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

DR. LISA M DERR D.O. (NPI 1124218540) is an individual surgery provider in Elizabeth, New Jersey, licensed in New Jersey (25MB08941100) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124218540
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. LISA M DERRCredential: D.O.
Location Address240 WILLIAMSON ST, STE 104Elizabeth, NJ 07202-3671
Mailing Address240 Williamson St, Ste 104Elizabeth, NJ 07202-3671 · (856) 796-9200 · Fax (856) 796-9397
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 23, 2017
NPI 1124218540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NJ · 25MB08941100
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

240 WILLIAMSON ST, Elizabeth, NJ 07202

Other Identifiers 2

Medicaid0270661NJ
Medicare PIN227553C04NJ

Accepted 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. Lisa M Derr D.o. 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 ID9335311828
PECOS Enrollment IDI20111005000289, I20250409000347
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
362 services57 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
140 services50 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
139 services39 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
97 services39 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
94 services36 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
88 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
4 suppliers26 claims940 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
5 suppliers41 claims2,577 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
4 suppliers19 claims483 services$20.38 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
7 suppliers56 claims1,712 services$7.06 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
4 suppliers21 claims276 services$9.38 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims433 services$2.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
240 WILLIAMSON ST, SUITE 203
ELIZABETH, NJ 07202
Surgery
240 WILLIAMSON ST, STE 302
ELIZABETH, NJ 07202
Specialist
240 WILLIAMSON ST, SUITE 307
ELIZABETH, NJ 07202
Internal Medicine (Infectious Disease)
240 WILLIAMSON ST, SUITE 305
ELIZABETH, NJ 07202
Obstetrics & Gynecology
240 WILLIAMSON ST, SUITE 304
ELIZABETH, NJ 07202
Internal Medicine (Infectious Disease)
240 WILLIAMSON ST, SUITE 305
ELIZABETH, NJ 07202
Technician/Technologist (Optician)
240 WILLIAMSON ST, SUITE 505
ELIZABETH, NJ 07202
Technician/Technologist (Optician)
240 WILLIAMSON ST, SUITE 505
ELIZABETH, NJ 07202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124218540, enumerated as an "individual" on August 01, 2007.

The provider is located at 240 WILLIAMSON ST STE 104 ELIZABETH, NJ 07202 and the phone number is (908) 994-5480.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.