LISA A KAPLER MD
NPI 1154337632
Family Medicine in Rockford, IA

Q: What is Lisa Kapler's NPI number?

The NPI number for Lisa Kapler is 1154337632. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Lisa Kapler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Kapler was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

702 E MAIN AVE, ROCKFORD, IA 50468(641) 756-3303(641) 756-2475 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Jul 27, 2020 (2 updates tracked since 2020).

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About Lisa A Kapler Md NPPES

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

LISA A KAPLER MD (NPI 1154337632) is an individual family medicine provider in Rockford, Iowa, licensed in Iowa (27742) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1154337632

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA A KAPLERCredential: MD

Location Address702 E MAIN AVERockford, IA 50468-1324

Mailing Address621 S Illinois Ave, Suite 103Mason City, IA 50401-5489 · (641) 494-3041 · Fax (641) 494-3059

Phone(641) 756-3303

Fax(641) 756-2475

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1154337632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 27742

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.

702 E MAIN AVE, Rockford, IA 50468

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa A Kapler Md 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 ID7517865660

PECOS Enrollment IDI20031226000363

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Kapler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Iowa Mercy Clinics

Same address

Family Medicine

702 E MAIN AVE
Rockford, IA 50468

Reassigned Medicare billing, Iowa enrollment
420 clinicians in this Medicare group

NPI 1609881457 (641) 756-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

294 services68 patients

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.

245 services143 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.

244 services118 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

139 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

38 services36 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Mitchell County Regional Health

Critical Access Hospitals · Osage, IA

OwnershipGovernment - Local

CMS Certification Number161323

Location616 North Eighth StreetOsage, IA 50461 · Mitchell County

Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161347

Location800 11th StCharles City, IA 50616 · Floyd County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50468 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers52 claims110 services$5.86 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers12 claims40 services$2.44 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$20.01 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$8.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers30 claims30 services$111.53 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims1,800 services$0.09 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL C LINDSTROM DO

Family Medicine

702 E MAIN AVE
ROCKFORD, IA 50468

Floyd County (641) 756-3303

NORTH IOWA MERCY CLINICS

Family Medicine

702 E MAIN AVE
ROCKFORD, IA 50468

Floyd County (641) 756-3303

KIMBERLY ANN KUEHNER ARNP

Nurse Practitioner (Family)

702 E MAIN AVE
ROCKFORD, IA 50468

Floyd County (641) 756-3303

BETHANY GRANT ARNP

Nurse Practitioner (Family)

702 E MAIN AVE
ROCKFORD, IA 50468

Floyd County (641) 756-3303

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 Kapler's NPI number?

The NPI number for Lisa Kapler is 1154337632. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Lisa Kapler located?

Lisa Kapler practices at 702 E Main Ave, Rockford, IA 50468. The listed phone number is (641) 756-3303.

What is Lisa Kapler's specialty?

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

Is Lisa Kapler enrolled in Medicare?

Yes. Lisa Kapler 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.

Which organization bills Medicare for Lisa Kapler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kapler reassigns Medicare benefits to North Iowa Mercy Clinics (Rockford, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Kapler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kapler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Lisa Kapler 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 Lisa Kapler affiliated with any hospitals?

According to CMS data, Lisa Kapler is affiliated with Mercyone North Iowa Medical Center, Mitchell County Regional Health and Floyd County Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Kapler was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.