DR. LISA JAYNE KOENIG BCHD, DDS, MS
NPI 1518052174
Dentist - Oral and Maxillofacial Radiology in Milwaukee, WI

Active since October 03, 2006Opted out of Medicare · through Jul 12, 2028
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY, 1801 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53233(414) 288-5675(414) 288-6081 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Lisa Jayne Koenig Bchd, Dds, Ms NPPES

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

DR. LISA JAYNE KOENIG BCHD, DDS, MS (NPI 1518052174) is an individual oral and maxillofacial radiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (3846) and active in the NPI registry since October 2006. She has opted out of Medicare through July 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518052174
Entity TypeIndividualFemale
Primary Taxonomy1223X0008X
Provider Legal NameDR. LISA JAYNE KOENIGCredential: BCHD, DDS, MS
Location AddressMARQUETTE UNIVERSITY SCHOOL OF DENTISTRY, 1801 WEST WISCONSIN AVENUEMilwaukee, WI 53233
Mailing AddressMarquette University School Of Dentistry, Po Box 1881Milwaukee, WI 53201-1881 · (414) 288-5675 · Fax (414) 288-6081
Fax(414) 288-6081
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1518052174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License Licensed in WI · 3846
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY, Milwaukee, WI 53233

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 Jayne Koenig Bchd, Dds, Ms 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 July 12, 2016 through July 12, 2028.

Opt-Out Effective DateJuly 12, 2016
Opt-Out In Effect ThroughJuly 12, 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 53233 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Koenig's NPI number?

The NPI number for Lisa Koenig is 1518052174. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lisa Koenig located?

Lisa Koenig practices at Marquette University School Of Dentistry 1801 West Wisconsin Avenue, Milwaukee, WI 53233. The listed phone number is (414) 288-5675.

What is Lisa Koenig's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Lisa Koenig enrolled in Medicare?

No. Lisa Koenig has opted out of Medicare through July 12, 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 Koenig was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.