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LISE PHAN MD
NPI 1487031100
Psychiatry & Neurology - Neurology in Arcadia, CA

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
1015 N 1ST AVE, SUITE B, ARCADIA, CA 91006(626) 598-3770(626) 598-3770 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2025, Jan 9, 2025, Nov 19, 2024 and 1 more (4 updates tracked since 2020).

About Lise Phan Md NPPES

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

LISE PHAN MD (NPI 1487031100) is an individual neurology provider in Arcadia, California, licensed in Colorado (DR.0064212) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487031100
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLISE PHANCredential: MD
Location Address1015 N 1ST AVE, SUITE BArcadia, CA 91006
Mailing Address1015 N 1st Ave, Suite BArcadia, CA 91006 · (626) 598-3770 · Fax (626) 598-3797
Phone(626) 598-3770
Fax(626) 598-3770
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 1, 2015
Last NPPES UpdateMay 21, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1487031100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CO · DR.0064212✔ Licensed in MT · MED-PHYS-LIC-85782✔ Licensed in CA · A147823✔ Licensed in NC · 2025-00021
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License A147823 (CA)
1015 N 1ST AVE, Arcadia, CA 91006
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1601 W Spruce St Ste JMissoula, MT 59802-4047 · Phone (406) 327-3350 · Fax (406) 327-3355
Location 2777 Bannock StDenver, CO 80204-4597 · Phone (303) 436-4949 · Fax (303) 602-6190
Location 33000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 350-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, CareSource and more.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

Lise Phan 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 ID7911240015
PECOS Enrollment IDI20200406000897, I20210512001037, I20230104001006, I20240917002952, I20250605000016, I20260115002130
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 6

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 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.
81 services51 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.
68 services49 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
30 services21 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
25 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91006 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 6

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

JYES ANNEMARIE QUERUBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1015 N 1ST AVE
ARCADIA, CA 91006
Los Angeles County (626) 598-3770
ARTHUR AN M D INC
Specialist
1015 N 1ST AVE
ARCADIA, CA 91006
Los Angeles County (626) 566-2866
JANICE YOUNG JOO MD
Psychiatry & Neurology (Neurology)
1015 N 1ST AVE
ARCADIA, CA 91006
Los Angeles County (626) 598-3770
SHUICHI SUZUKI, M.D., INC.
Psychiatry & Neurology (Diagnostic Neuroimaging)
1015 N 1ST AVE, SUITE A
ARCADIA, CA 91006
Los Angeles County (626) 566-2860
MRS. GAIL HARTLEY RNP
Nurse Practitioner
1015 N 1ST AVE
ARCADIA, CA 91006
Los Angeles County (626) 566-2866
ALERACARE MEDICAL GROUP OF CALIFORNIA, A MEDICAL CORPORATION
Clinic/Center (Multi-Specialty)
1015 N 1ST AVE
ARCADIA, CA 91006
Los Angeles County (888) 209-8874

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 Lise Phan's NPI number?

The NPI number for Lise Phan is 1487031100. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Lise Phan located?

Lise Phan practices at 1015 N 1st Ave Suite B, Arcadia, CA 91006. The listed phone number is (626) 598-3770.

What is Lise Phan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lise Phan enrolled in Medicare?

Yes. Lise Phan 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 Lise Phan accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, CareSource, Medica and Oscar Insurance Company and 1 other insurer list Lise Phan 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 Lise Phan affiliated with any hospitals?

According to CMS data, Lise Phan is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Lise Phan was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.