LIESE K VITO MD
NPI 1225090004
Obstetrics & Gynecology in Willoughby, OH

Q: What is Liese Vito's NPI number?

The NPI number for Liese Vito is 1225090004. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Dr. Liese Kasparek MD.

Q: What is Liese Vito's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Liese Vito was last updated on March 1, 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 April 05, 2006PECOS Enrolled

4176 STATE ROUTE 306, WILLOUGHBY, OH 44094(440) 918-4630(440) 918-4654 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2021, Jun 9, 2017 (2 updates tracked since 2017).

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About Liese K Vito Md NPPES

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

LIESE K VITO MD (NPI 1225090004) is an individual obstetrics & gynecology provider in Willoughby, Ohio, licensed in Ohio (35-065098) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225090004

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLIESE K VITOCredential: MD

Location Address4176 STATE ROUTE 306Willoughby, OH 44094-9203

Mailing AddressPo Box 781389Detroit, MI 48278-1389 · (440) 918-4630 · Fax (440) 918-4632

Phone(440) 918-4630

Fax(440) 918-4654

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration

NPPES CertifiedMarch 1, 2021

✔ NPI 1225090004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 35-065098

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4176 STATE ROUTE 306, Willoughby, OH 44094

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Other Names 1

Former Name (1)Dr. Liese Kasparek Md

Other Identifiers 1

Medicaid0152525OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liese K Vito Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Liese Vito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Hospital System, Inc

2.9 mi

Urgent Care

7956 TYLER BLVD
Mentor, OH 44060

Reassigned Medicare billing, Ohio enrollment
285 clinicians in this Medicare group

NPI 1205896404 (440) 255-6400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 11

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

JANIE M ZART MD

Obstetrics & Gynecology