SAMUEL LIZERBRAM D.O.
NPI 1568424109
Family Medicine in Philadelphia, PA

Q: What is Samuel Lizerbram's NPI number?

The NPI number for Samuel Lizerbram is 1568424109. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Samuel Lizerbram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Lizerbram was last updated on April 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2006PECOS Enrolled

12000 BUSTLETON AVE, SUITE 102, PHILADELPHIA, PA 19116(215) 673-7600(215) 673-1894 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samuel Lizerbram D.o. NPPES

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

SAMUEL LIZERBRAM D.O. (NPI 1568424109) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS002814L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568424109

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL LIZERBRAMCredential: D.O.

Location Address12000 BUSTLETON AVE, SUITE 102Philadelphia, PA 19116-2151

Mailing Address12000 Bustleton Ave, Suite 102Philadelphia, PA 19116-2151 · (215) 673-7600 · Fax (215) 673-1894

Phone(215) 673-7600

Fax(215) 673-1894

Sole ProprietorNo

Enumeration DateApril 6, 2006

Last NPPES UpdateApril 7, 2015

✔ NPI 1568424109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS002814L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12000 BUSTLETON AVE, Philadelphia, PA 19116

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Other Identifiers 2

Medicare UPIND77423PA

Medicaid000696256001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Lizerbram D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.