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DR. LISA GROSSMAN D.D.S.
NPI 1487885232
Dentist - General Practice in Plainview, NY

Active since July 28, 2009Opted out of Medicare · through Mar 16, 2028
115 PLYMOUTH RD, PLAINVIEW, NY 11803(516) 220-0619 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Grossman D.d.s. NPPES

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

DR. LISA GROSSMAN D.D.S. (NPI 1487885232) is an individual general practice provider in Plainview, New York, licensed in New York (055137) and active in the NPI registry since July 2009. She has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487885232
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA GROSSMANCredential: D.D.S.
Location Address115 PLYMOUTH RDPlainview, NY 11803-2720
Mailing Address115 Plymouth RdPlainview, NY 11803-2720 · (516) 220-0619
Phone(516) 220-0619
Sole ProprietorYes
Enumeration DateJuly 28, 2009
Last NPPES UpdateSeptember 21, 2025
NPPES CertifiedSeptember 21, 2025
✔ NPI 1487885232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 055137
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 PLYMOUTH RD, Plainview, NY 11803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Grossman D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Grossman's NPI number?

The NPI number for Lisa Grossman is 1487885232. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Lisa Grossman located?

Lisa Grossman practices at 115 Plymouth Rd, Plainview, NY 11803. The listed phone number is (516) 220-0619.

What is Lisa Grossman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Grossman enrolled in Medicare?

No. Lisa Grossman has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Grossman was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.