LISA A LOWRY-ROHLFING MD
NPI 1386755973
Family Medicine in Chester, IL

Q: What is Lisa Lowry-rohlfing's NPI number?

The NPI number for Lisa Lowry-rohlfing is 1386755973. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Lisa Lowry-rohlfing's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1900 STATE ST, CHESTER, IL 62233(618) 826-2388 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa A Lowry-rohlfing Md NPPES

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

LISA A LOWRY-ROHLFING MD (NPI 1386755973) is an individual family medicine provider in Chester, Illinois, licensed in Illinois (036-087561) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Steeleville.

NPPES Registry Identity

NPI1386755973

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA A LOWRY-ROHLFINGCredential: MD

Location Address1900 STATE STChester, IL 62233-1116

Mailing Address1900 State StChester, IL 62233-1116 · (618) 826-2388

Phone(618) 826-2388

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1991

Enumeration DateAugust 31, 2006

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1386755973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-087561

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1900 STATE ST, Chester, IL 62233

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Secondary Practice Location 1

Location 1602 W Shawneetown TrlSteeleville, IL 62288-1126 · Phone (618) 965-2062

Other Identifiers 1

Medicaid036087561IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 A Lowry-rohlfing Md 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 ID42362733

PECOS Enrollment IDI20100216000426

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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

75 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services28 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Chester, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141338

Location1900 State StChester, IL 62233 · Randolph County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62233 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers45 claims77 services$6.10 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers18 claims18 services$1.14 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers22 claims22 services$46.23 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers16 claims16 services$100.73 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims47 services$38.94 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers16 claims71 services$19.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CHERYL L SAUERHAGE

Physical Therapist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-4588

JASON DEAN ROY PT

Physical Therapist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-4588

STOKES INSTITUTE OF UROLOGY

Specialist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-4581

BRETT PRYWITCH

Radiology (Diagnostic Radiology)

1900 STATE ST, CHESTER MEMORIAL HOSPITAL
CHESTER, IL 62233

Randolph County (618) 826-4581

CHESTER MEDICAL GROUP LLC

Specialist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-4581

DEBRA KAY ROHLFING MOT, OTR/L, CLT

Occupational Therapist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-4581

DR. JAMES RAYMOND KIRKPATRICK M.D., PH.D.

Family Medicine

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-2388

KATHLEEN ANN WINKLER RPH

Pharmacist

1900 STATE ST
CHESTER, IL 62233

Randolph County (618) 826-6134

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 Lowry-rohlfing's NPI number?

The NPI number for Lisa Lowry-rohlfing is 1386755973. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Lisa Lowry-rohlfing located?

Lisa Lowry-rohlfing practices at 1900 State St, Chester, IL 62233. The listed phone number is (618) 826-2388.

What is Lisa Lowry-rohlfing's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Lowry-rohlfing enrolled in Medicare?

Yes. Lisa Lowry-rohlfing 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 Lowry-rohlfing accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lisa Lowry-rohlfing 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 Lowry-rohlfing affiliated with any hospitals?

According to CMS data, Lisa Lowry-rohlfing is affiliated with Memorial Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Lowry-rohlfing was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.