DARIA ANN LISICK PA
NPI 1497832125
Physician Assistant in Johnson City, NY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
240 RIVERSIDE DR., JOHNSON CITY, NY 13790(607) 798-9356(607) 797-1707 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daria Ann Lisick Pa NPPES

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

DARIA ANN LISICK PA (NPI 1497832125) is an individual physician assistant in Johnson City, New York, licensed in New York (006573-1) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1497832125
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDARIA ANN LISICKCredential: PA
Location Address240 RIVERSIDE DR.Johnson City, NY 13790-2732
Mailing Address5719 Widewaters PkwySyracuse, NY 13214-1985 · (315) 251-3105 · Fax (315) 449-9923
Fax(607) 797-1707
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 26, 2016
NPI 1497832125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 006573-1 Licensed in NY · 006573
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 006573 (NY), 006573-1 (NY)
240 RIVERSIDE DR., Johnson City, NY 13790

Other Identifiers 3

Medicaid01793411NY
Medicare UPINS44604
Medicare ID-Type Unspecified34739MNY

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

Daria Ann Lisick Pa 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 ID1850472200
PECOS Enrollment IDI20080111000329
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.

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

Physician Assistant
240 RIVERSIDE DR.
JOHNSON CITY, NY 13790

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 Daria Lisick's NPI number?

The NPI number for Daria Lisick is 1497832125. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Daria Lisick located?

Daria Lisick practices at 240 Riverside Dr., Johnson City, NY 13790. The listed phone number is (607) 798-9356.

What is Daria Lisick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daria Lisick enrolled in Medicare?

Yes. Daria Lisick 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.

Is Daria Lisick affiliated with any hospitals?

According to CMS data, Daria Lisick is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Daria Lisick was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.