DR. LISA MARIE ROTELLI D. O.
NPI 1215953229
Pediatrics in Johnstown, NY

Q: What is Lisa Rotelli's NPI number?

The NPI number for Lisa Rotelli is 1215953229. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Lisa Rotelli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Rotelli was last updated on March 29, 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.

Active since July 14, 2006PECOS Enrolled

110 DECKER DR STE 100, JOHNSTOWN, NY 12095(518) 762-6731(518) 762-7135 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Oct 22, 2018, Feb 22, 2017 (3 updates tracked since 2017).

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About Dr. Lisa Marie Rotelli D. O. NPPES

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

DR. LISA MARIE ROTELLI D. O. (NPI 1215953229) is an individual pediatrics provider in Johnstown, New York, licensed in New York (229169) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1999).

NPPES Registry Identity

NPI1215953229

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LISA MARIE ROTELLICredential: D. O.

Location Address110 DECKER DR STE 100Johnstown, NY 12095-2157

Mailing Address99 E State StGloversville, NY 12078-1203 · (518) 762-6731 · Fax (518) 762-7135

Phone(518) 762-6731

Fax(518) 762-7135

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1999

Enumeration DateJuly 14, 2006

Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1215953229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 229169✔ Licensed in AL · DO-901

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 229169 (NY)

110 DECKER DR STE 100, Johnstown, NY 12095

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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 (PECOS)

Dr. Lisa Marie Rotelli D. O. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234159922

PECOS Enrollment IDI20260302002790, I20260402002603

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12095 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES

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

MRS. BETINA G COURTENS FNP-BC

Nurse Practitioner (Family)

110 DECKER DR STE 100
JOHNSTOWN, NY 12095

Fulton County (518) 571-4200

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 Rotelli's NPI number?

The NPI number for Lisa Rotelli is 1215953229. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Lisa Rotelli located?

Lisa Rotelli practices at 110 Decker Dr Ste 100, Johnstown, NY 12095. The listed phone number is (518) 762-6731.

What is Lisa Rotelli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Rotelli enrolled in Medicare?

Yes. Lisa Rotelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Rotelli was last updated on March 29, 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.