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LISA CAROLINE KLEPCZYK M.D.
NPI 1194986455
Radiology - Radiation Oncology in Atlanta, GA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1968 PEACHTREE RD NW, RADIATION ONCOLOGY DEPT, ATLANTA, GA 30309(404) 605-4227(770) 916-3343 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Caroline Klepczyk M.d. NPPES

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

LISA CAROLINE KLEPCZYK M.D. (NPI 1194986455) is an individual radiation oncology provider in Atlanta, Georgia, licensed in Illinois (036163337) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and maintains a secondary practice location in Mchenry.

NPPES Registry Identity

NPI1194986455
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameLISA CAROLINE KLEPCZYKCredential: M.D.
Location Address1968 PEACHTREE RD NW, RADIATION ONCOLOGY DEPTAtlanta, GA 30309-1281
Mailing Address1968 Peachtree Rd Nw, Radiation Oncology DeptAtlanta, GA 30309-1281 · (404) 605-4227 · Fax (770) 916-3343
Phone(404) 605-4227
Fax(770) 916-3343
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2008
Enumeration DateJune 19, 2008
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1194986455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in IL · 036163337✔ Licensed in AL · 29795✔ Licensed in GA · 072012
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1968 PEACHTREE RD NW, Atlanta, GA 30309
Open in Google Maps ↗

Secondary Practice Location 1

Location 14305 W Medical Center DrMcHenry, IL 60050-8425 · Phone (815) 344-8000 · Fax (815) 344-9601

Other Identifiers 7

Other0366100001AL · Mc Nsc
Other102I926603AL · Medicare Ptan
Other202I928503GA · Medicare Ptan
Medicaid003148167BGA
Other0366100001AL · Cigna Government Services Ptan
Other511-36409AL · Bcbs
Medicaid148843AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 Caroline Klepczyk 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 ID5294999561
PECOS Enrollment IDI20230327000835
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 Reassignments

4

Medicare enrollment records show Lisa Klepczyk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peachtree Radiation Oncology Services PC
Same address
Radiation Oncology
1968 PEACHTREE RD NW, DEPT OF RADIATION ONCOLOGY
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1750496527 (404) 605-3319
North Atlanta Professional Services LLC
7.3 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
Ludag LLC
551 mi
Radiation Oncology
8701 BROADWAY
Merrillville, IN 46410
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1336195353 (574) 271-2558
Northwestern Medical Faculty Foundation
606 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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

Hospital Affiliations CMS Care Compare 2

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

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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.

TRACY PURCELL NICHOLAS NP
Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Fulton County (404) 605-4602
JINAL ACHYUTKUMAR KHAMAR CAA
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 605-5000
BRITTANY R BARRON
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 451-0960
ELOISE COTTEN TEETER PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 367-3014
DEBORA LOU COURSEY-PRAH MD
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Fulton County (404) 605-5000
CAROLINE MCCOY ANP-BC
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Fulton County (404) 605-4358
CHARITA MERCHANT CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (678) 216-0771
TAYLOR JONES PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (470) 788-1010

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 Klepczyk's NPI number?

The NPI number for Lisa Klepczyk is 1194986455. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Lisa Klepczyk located?

Lisa Klepczyk practices at 1968 Peachtree Rd NW Radiation Oncology Dept, Atlanta, GA 30309. The listed phone number is (404) 605-4227.

What is Lisa Klepczyk's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Lisa Klepczyk enrolled in Medicare?

Yes. Lisa Klepczyk 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 organizations bill Medicare for Lisa Klepczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Klepczyk reassigns Medicare benefits to 4 organizations: Peachtree Radiation Oncology Services PC (Atlanta, GA), North Atlanta Professional Services LLC (Atlanta, GA), Ludag LLC (Merrillville, IN) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Klepczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Klepczyk accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lisa Klepczyk 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 Klepczyk affiliated with any hospitals?

According to CMS data, Lisa Klepczyk is affiliated with Presence St Marys Hospital and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Klepczyk was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.