LISA DEMIDOWICH DPM
NPI 1235545278
Podiatrist - Foot & Ankle Surgery in Prescott, AZ

Active since July 10, 2014PECOS EnrolledAccepts Medicare Assignment
2286 CROSSWIND DR STE C, PRESCOTT, AZ 86301(928) 225-2540 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2019, Jun 3, 2019, May 21, 2019 and 1 more (4 updates tracked since 2017).

About Lisa Demidowich Dpm NPPES

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

LISA DEMIDOWICH DPM (NPI 1235545278) is an individual foot & ankle surgery provider in Prescott, Arizona, licensed in Arizona (0844) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of New York College Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1235545278
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameLISA DEMIDOWICHCredential: DPM
Location Address2286 CROSSWIND DR STE CPrescott, AZ 86301-6100
Mailing AddressPo Box 27077Prescott Valley, AZ 86312-7077 · (928) 225-2540
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2014
Enumeration DateJuly 10, 2014
Last NPPES UpdateSeptember 5, 20194 updates tracked since enumeration
NPI 1235545278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in AZ · 0844
2286 CROSSWIND DR STE C, Prescott, AZ 86301

Secondary Practice Location 1

Location 1650 E Indian School Rd, Phoenix VA Medical CenterPhoenix, AZ 85012-1839 · Phone (928) 225-2540

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 Demidowich Dpm 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 ID9739453960
PECOS Enrollment IDI20170926003506
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 21

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
287 services185 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
287 services207 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
275 services178 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
187 services137 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
182 services142 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
130 services130 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims924 services$0.37 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
4 suppliers17 claims243 services$7.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2286 CROSSWIND DR STE C
PRESCOTT, AZ 86301
Podiatrist (Foot & Ankle Surgery)
2286 CROSSWIND DR STE C
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
2286 CROSSWIND DR STE C
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
2286 CROSSWIND DR STE C
PRESCOTT, AZ 86301

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 Demidowich's NPI number?

The NPI number for Lisa Demidowich is 1235545278. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Lisa Demidowich located?

Lisa Demidowich practices at 2286 Crosswind Dr Ste C, Prescott, AZ 86301. The listed phone number is (928) 225-2540.

What is Lisa Demidowich's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Lisa Demidowich enrolled in Medicare?

Yes. Lisa Demidowich 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 Demidowich accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Lisa Demidowich 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 Demidowich was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.