BENJAMIN TETSU LISH M.D.
NPI 1417901067
Family Medicine in Ventura, CA

Q: What is Benjamin Lish's NPI number?

The NPI number for Benjamin Lish is 1417901067. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Benjamin Lish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Lish was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

120 N ASHWOOD AVE, VENTURA, CA 93003(805) 658-5800(805) 639-0786 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benjamin Tetsu Lish M.d. NPPES

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

BENJAMIN TETSU LISH M.D. (NPI 1417901067) is an individual family medicine provider in Ventura, California, licensed in California (A67012) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1417901067

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENJAMIN TETSU LISHCredential: M.D.

Location Address120 N ASHWOOD AVEVentura, CA 93003-1810

Mailing Address5855 Olivas Park DrVentura, CA 93003-7672 · (805) 667-2801 · Fax (805) 667-2865

Phone(805) 658-5800

Fax(805) 639-0786

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 19, 2006

Last NPPES UpdateDecember 26, 2013

✔ NPI 1417901067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A67012

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.

120 N ASHWOOD AVE, Ventura, CA 93003

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Other Identifiers 13

MedicaidRHM18553HCA

Medicare UPINH16098

Medicare ID-Type UnspecifiedA67012CA · Ppin

Other95-1683892CA · Other Insurance

Medicare ID-Type UnspecifiedWA67012ACA · Ppin

Medicare ID-Type Unspecified050394CA · Medicare

MedicaidRHM08609FCA

Medicare ID-Type Unspecified058553CA · Rh Medicare

Medicare ID-Type Unspecified058609CA · Rh Medicare

MedicaidZZT40394FCA

Other050394CA · Blue Cross

Medicare ID-Type Unspecified058608CA · Rh Medicare

MedicaidRHM08608FCA

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

Benjamin Tetsu Lish M.d. 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 ID547257982

PECOS Enrollment IDI20040428000671

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

686 services88 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

188 services97 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.

173 services110 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.

98 services98 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

90 services51 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

77 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 8

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

9 suppliers25 claims46 services$6.65 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims385 services$1.94 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$9.38 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$6.31 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

2 suppliers12 claims48 services$1.54 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$27.85 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.

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