LISA KOTZEN PA
NPI 1174845846
Physician Assistant in Royal Oak, MI

Active since February 23, 2010PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073(855) 863-8761(248) 551-2301 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Kotzen Pa NPPES

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

LISA KOTZEN PA (NPI 1174845846) is an individual physician assistant in Royal Oak, Michigan, licensed in Michigan (5601005577) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1174845846
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA KOTZENCredential: PA
Location Address3555 W 13 MILE RD STE N120Royal Oak, MI 48073-6710
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (947) 522-0307
Fax(248) 551-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 23, 2010
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
NPI 1174845846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005577
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.
3555 W 13 MILE RD STE N120, Royal Oak, MI 48073

Other Names 1

Former Name (1)Lisa Johnides Johnides

Secondary Practice Location 1

Location 1750 Stephenson Hwy, 235 BBCTroy, MI 48083-1103 · Phone (248) 577-3522

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 Kotzen Pa 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 ID5395925606
PECOS Enrollment IDI20110203000561
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Audiologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Surgery (Plastic and Reconstructive Surgery)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Clinical Neuropsychologist
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner (Primary Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Physician Assistant (Surgical)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Nurse Practitioner (Acute Care)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073
Psychiatry & Neurology (Vascular Neurology)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073

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 Kotzen's NPI number?

The NPI number for Lisa Kotzen is 1174845846. It was assigned to this individual provider in the NPPES registry on February 23, 2010. The provider is also known as Lisa Johnides Johnides.

Where is Lisa Kotzen located?

Lisa Kotzen practices at 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073. The listed phone number is (855) 863-8761.

What is Lisa Kotzen's specialty?

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

Is Lisa Kotzen enrolled in Medicare?

Yes. Lisa Kotzen 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 Kotzen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Lisa Kotzen 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 Kotzen affiliated with any hospitals?

According to CMS data, Lisa Kotzen is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Lisa Kotzen was last updated on January 22, 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.