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ALISHA MARIE LAUTSCH
NPI 1164093639
Physician Assistant in East Northport, NY

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
297 TOWN LINE RD, EAST NORTHPORT, NY 11731(631) 223-6636 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisha Marie Lautsch NPPES

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

ALISHA MARIE LAUTSCH (NPI 1164093639) is an individual physician assistant in East Northport, New York and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164093639
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISHA MARIE LAUTSCH
Location Address297 TOWN LINE RDEast Northport, NY 11731-5502
Mailing Address297 Town Line RdEast Northport, NY 11731-5502 · (631) 223-6636
Phone(631) 223-6636
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
✔ NPI 1164093639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
297 TOWN LINE RD, East Northport, NY 11731
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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

Alisha Marie Lautsch 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 ID1355728049
PECOS Enrollment IDI20220518002704
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.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11731 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Alisha Lautsch's NPI number?

The NPI number for Alisha Lautsch is 1164093639. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Alisha Lautsch located?

Alisha Lautsch practices at 297 Town Line Rd, East Northport, NY 11731. The listed phone number is (631) 223-6636.

What is Alisha Lautsch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alisha Lautsch enrolled in Medicare?

Yes. Alisha Lautsch 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 Alisha Lautsch affiliated with any hospitals?

According to CMS data, Alisha Lautsch is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Alisha Lautsch was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.