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LISA KUTAS MD
NPI 1417057456
Internal Medicine in Ypsilanti, MI

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
5333 MCAULEY DR, 6109, YPSILANTI, MI 48197(734) 712-1300(734) 712-1330 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Kutas Md NPPES

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

LISA KUTAS MD (NPI 1417057456) is an individual internal medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301081281) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of University Of Michigan Medical School (1994).

NPPES Registry Identity

NPI1417057456
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA KUTASCredential: MD
Location Address5333 MCAULEY DR, 6109Ypsilanti, MI 48197-1014
Mailing Address24 Frank Lloyd Wright Dr, Po Box 0446 Lobby JAnn Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 747-8605
Phone(734) 712-1300
Fax(734) 712-1330
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1417057456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301081281
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5333 MCAULEY DR, Ypsilanti, MI 48197
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kutas 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 ID2961450747
PECOS Enrollment IDI20050107000841
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Kutas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iha Health Services Corporation
Same address
Urology
5333 MCAULEY DR, SUITE 3001
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1932440310 (734) 712-8100
St Joseph Mercy Hospital
Same address
Internal Medicine
5333 MCAULEY DR, SUITE 4001
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 180 clinicians in this Medicare group
NPI 1548388606 (734) 712-3980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
240 services126 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.
53 services53 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.
44 services30 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.
38 services33 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.
29 services17 patients

Hospital Affiliations CMS Care Compare 4

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Chelsea Hospital

Acute Care Hospitals · Chelsea, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230259
Location775 S Main StChelsea, MI 48118 · Washtenaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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 suppliers20 claims42 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.11 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 20

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

ARDEN BASLER RN
Registered Nurse (Women's Health Care, Ambulatory)
5333 MCAULEY DR, RHB 2110
YPSILANTI, MI 48197
Washtenaw County (734) 712-3126
MORGAN MURDOCK CNP
Internal Medicine (Addiction Medicine)
5333 MCAULEY DR, SUITE 3111
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VISHAL BHAGAT M.D.
Radiology (Vascular & Interventional Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
ST JOSEPH MERCY HOSPITAL
Internal Medicine
5333 MCAULEY DR, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. GIL S. BORLAZA M.D.
Radiology (Diagnostic Radiology)
5333 MCAULEY DR, SUITE 6016
YPSILANTI, MI 48197
Washtenaw County (734) 712-8350
MS. MICHELLE SCHNAPER OKUN MS, APRN, BC
Nurse Practitioner (Adult Health)
5333 MCAULEY DR, SUITE 4106
YPSILANTI, MI 48197
Washtenaw County (734) 712-5637
THERON LEROY DOBSON M.D.
Psychiatry & Neurology (Neurology)
5333 MCAULEY DR, STE 6109
YPSILANTI, MI 48197
Washtenaw County (734) 712-1400
ELI PEARSON TIDWELL
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Kutas's NPI number?

The NPI number for Lisa Kutas is 1417057456. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Lisa Kutas located?

Lisa Kutas practices at 5333 Mcauley Dr 6109, Ypsilanti, MI 48197. The listed phone number is (734) 712-1300.

What is Lisa Kutas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lisa Kutas enrolled in Medicare?

Yes. Lisa Kutas 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.

Which organizations bill Medicare for Lisa Kutas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kutas reassigns Medicare benefits to 2 organizations: Iha Health Services Corporation (Ypsilanti, MI) and St Joseph Mercy Hospital (Ypsilanti, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Kutas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kutas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lisa Kutas 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 Kutas affiliated with any hospitals?

According to CMS data, Lisa Kutas is affiliated with St Joe Mercy Hospital System Livonia, Saint Joseph Mercy Livingston Hospital, Trinity Health Ann Arbor Hospital and Chelsea Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Kutas was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.