LISA MICHELLE CEPLIKAS M.D.
NPI 1164657789
Family Medicine in Swampscott, MA

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
250 PARADISE RD, SWAMPSCOTT, MA 01907(781) 596-2000(781) 595-7111 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Michelle Ceplikas M.d. NPPES

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

LISA MICHELLE CEPLIKAS M.D. (NPI 1164657789) is an individual family medicine provider in Swampscott, Massachusetts, licensed in Massachusetts (25132) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).

NPPES Registry Identity

NPI1164657789
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA MICHELLE CEPLIKASCredential: M.D.
Location Address250 PARADISE RDSwampscott, MA 01907
Mailing Address250 Paradise RdSwampscott, MA 01907-2948 · (781) 596-2000 · Fax (781) 595-7111
Fax(781) 595-7111
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateMarch 6, 2019
NPI 1164657789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 25132
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.
250 PARADISE RD, Swampscott, MA 01907

Other Names 1

Former Name (1)Lisa Michelle Andruszkiewicz

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

Lisa Michelle Ceplikas 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 ID9830348549
PECOS Enrollment IDI20121012000134
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 19

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.

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.
238 services163 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.
146 services130 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.
113 services113 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services39 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01907 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.64 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 suppliers40 claims40 services$60.54 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 16

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

Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Clinic/Center (Urgent Care)
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Family Medicine
250 PARADISE RD
SWAMPSCOTT, MA 01907
Nurse Practitioner (Family)
250 PARADISE RD
SWAMPSCOTT, MA 01907

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 Ceplikas's NPI number?

The NPI number for Lisa Ceplikas is 1164657789. It was assigned to this individual provider in the NPPES registry on May 27, 2009. The provider is also known as Lisa Michelle Andruszkiewicz.

Where is Lisa Ceplikas located?

Lisa Ceplikas practices at 250 Paradise Rd, Swampscott, MA 01907. The listed phone number is (781) 596-2000.

What is Lisa Ceplikas's specialty?

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

Is Lisa Ceplikas enrolled in Medicare?

Yes. Lisa Ceplikas 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.

What insurance does Lisa Ceplikas accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Ceplikas 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 Ceplikas affiliated with any hospitals?

According to CMS data, Lisa Ceplikas is affiliated with North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Ceplikas was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.