LISA M LOWERY MD
NPI 1235119975
Pediatrics - Adolescent Medicine in Grand Rapids, MI
About Lisa M Lowery Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA M LOWERY MD (NPI 1235119975) is an individual adolescent medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301070056) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa M Lowery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Lowery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Lowery's NPI number?
The NPI number for Lisa Lowery is 1235119975. It was assigned to this individual provider in the NPPES registry on January 19, 2006. The provider is also known as Lisa M Lowery-Dubose.
Where is Lisa Lowery located?
Lisa Lowery practices at 330 Barclay Ave NE Ste. 203, Grand Rapids, MI 49503. The listed phone number is (616) 391-2123.
What is Lisa Lowery's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Lisa Lowery enrolled in Medicare?
Yes. Lisa Lowery is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Lowery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lowery reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Lowery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Lowery accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lisa Lowery 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.
When was this NPI record last updated?
The NPPES record for Lisa Lowery was last updated on February 25, 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.
# Lisa M Lowery, MD · NPI 1235119975
Adolescent Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1235119975 (Entity type: Individual)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 4301070056 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BARCLAY AVE NE, STE. 203, Grand Rapids, MI 49503-2556
- **Phone:** (616) 391-2123 · **Fax:** (616) 391-3574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1689499667, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235119975) · Data from the CMS NPPES public registry.