ANTHONY DAVID LISUZZO PA
NPI 1558771543
Physician Assistant in Libertyville, IL

Q: What is Anthony Lisuzzo's NPI number?

The NPI number for Anthony Lisuzzo is 1558771543. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Q: What is Anthony Lisuzzo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Lisuzzo was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment

825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 634-1766 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Mar 16, 2023, Jan 12, 2022 and 1 more (4 updates tracked since 2021).

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About Anthony David Lisuzzo Pa NPPES

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

ANTHONY DAVID LISUZZO PA (NPI 1558771543) is an individual physician assistant in Libertyville, Illinois, licensed in Illinois (085-005363) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1558771543

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANTHONY DAVID LISUZZOCredential: PA

Location Address825 S MILWAUKEE AVELibertyville, IL 60048-3218

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 634-1766

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 30, 2014

Last NPPES UpdateMay 5, 20264 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1558771543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085-005363✔ Licensed in MI · 5601010096

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.

825 S MILWAUKEE AVE, Libertyville, IL 60048

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Secondary Practice Location 1

Location 11900 Wealthy St SE Ste 290Grand Rapids, MI 49506-2969 · Phone (616) 774-8345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Anthony David Lisuzzo 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 ID4082930185

PECOS Enrollment IDI20150309001592

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 2

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

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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.

ARIANA K GALE-SAVAGE PA

Physician Assistant