DR. RONALD DEMETRI LISKANICH D.O.
NPI 1245391820
Dermatology - Procedural Dermatology in Upland, CA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
77.86/100
CMS Quality Rating
954 W FOOTHILL BLVD STE B, UPLAND, CA 91786(909) 949-7500(909) 946-1133 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronald Demetri Liskanich D.o. NPPES

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

DR. RONALD DEMETRI LISKANICH D.O. (NPI 1245391820) is an individual procedural dermatology provider in Upland, California, licensed in California (20A4952) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Upland, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1983).

NPPES Registry Identity

NPI1245391820
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameDR. RONALD DEMETRI LISKANICHCredential: D.O.
Location Address954 W FOOTHILL BLVD STE BUpland, CA 91786
Mailing Address954 W Foothill Blvd Ste BUpland, CA 91786-3782 · (909) 949-7500 · Fax (909) 946-1133
Fax(909) 946-1133
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1983
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 18, 2018
NPI 1245391820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in CA · 20A4952
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
954 W FOOTHILL BLVD STE B, Upland, CA 91786

Secondary Practice Location 1

Location 1954 W Foothill Blvd Ste BUpland, CA 91786 · Phone (909) 949-7500 · Fax (909) 946-1133

Other Identifiers 2

Medicaid00AX49520CA
Other020A49520CA · Blue Shield

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

Dr. Ronald Demetri Liskanich D.o. 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 ID3173551496
PECOS Enrollment IDI20050728000724
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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,411 services230 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.
484 services326 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
414 services299 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
393 services289 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
227 services174 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
139 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

77.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability93
Improvement Activities40
Cost73.99

Other Providers at the Same Location NPPES 2

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

Dermatology (Procedural Dermatology)
954 W FOOTHILL BLVD STE B
UPLAND, CA 91786
Dermatology
954 W FOOTHILL BLVD STE B
UPLAND, CA 91786

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 Ronald Liskanich's NPI number?

The NPI number for Ronald Liskanich is 1245391820. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Ronald Liskanich located?

Ronald Liskanich practices at 954 W Foothill Blvd Ste B, Upland, CA 91786. The listed phone number is (909) 949-7500.

What is Ronald Liskanich's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Ronald Liskanich enrolled in Medicare?

Yes. Ronald Liskanich 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.

When was this NPI record last updated?

The NPPES record for Ronald Liskanich was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.