MARISSE AILEEN LARDIZABAL DPM
NPI 1376801803
Podiatrist in Phoenix, AZ

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
93.37/100
CMS Quality Rating
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 697-8787 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marisse Aileen Lardizabal Dpm NPPES

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

MARISSE AILEEN LARDIZABAL DPM (NPI 1376801803) is an individual podiatrist in Phoenix, Arizona, licensed in Arizona (0799) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2012).

NPPES Registry Identity

NPI1376801803
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMARISSE AILEEN LARDIZABALCredential: DPM
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address5309 W Misty Willow LnGlendale, AZ 85310-3732 · (602) 697-8787
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateOctober 14, 2015
NPI 1376801803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in AZ · 0799
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2601 E ROOSEVELT ST, Phoenix, AZ 85008

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

Marisse Aileen Lardizabal 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 ID7517272669
PECOS Enrollment IDI20150818005437
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 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.
37 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

93.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Promoting Interoperability96
Improvement Activities40
Cost62.14

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.

Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Dentist
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376801803, enumerated as an "individual" on May 03, 2012.

The provider is located at 2601 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 697-8787.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.