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LISA SANKO
NPI 1356891790
Nurse Practitioner - Family in Pittsburgh, PA

Active since October 10, 2016PECOS EnrolledAccepts Medicare Assignment
5200 CENTRE AVE STE 405, PITTSBURGH, PA 15232(412) 623-2700(412) 623-1235 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2024, May 24, 2021, Oct 12, 2016 (3 updates tracked since 2016).

About Lisa Sanko NPPES

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

LISA SANKO (NPI 1356891790) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP016596) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356891790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA SANKO
Location Address5200 CENTRE AVE STE 405Pittsburgh, PA 15232-1311
Mailing Address5200 Centre Ave Ste 405Pittsburgh, PA 15232-1311 · (412) 623-2700 · Fax (412) 623-1235
Phone(412) 623-2700
Fax(412) 623-1235
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 10, 2016
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1356891790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016596
5200 CENTRE AVE STE 405, Pittsburgh, PA 15232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas.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 Sanko 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 ID3971883919
PECOS Enrollment IDI20161208000107, I20241002001069, I20241002001803, I20250116002086, I20250530003319
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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
193 services186 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.
191 services139 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
33 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$35.26 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 3

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

KAREN SCANDRETT MD
Internal Medicine (Geriatric Medicine)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
SAMENDER S RANDHAWA MD
Internal Medicine (Geriatric Medicine)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
MICAH L CHERUBINO LCSW
Social Worker (Clinical)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700

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 Sanko's NPI number?

The NPI number for Lisa Sanko is 1356891790. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Lisa Sanko located?

Lisa Sanko practices at 5200 Centre Ave Ste 405, Pittsburgh, PA 15232. The listed phone number is (412) 623-2700.

What is Lisa Sanko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Sanko enrolled in Medicare?

Yes. Lisa Sanko 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 Sanko accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas list Lisa Sanko 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.

Is Lisa Sanko affiliated with any hospitals?

According to CMS data, Lisa Sanko is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Lisa Sanko was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.