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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Lizerbram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Temple Physicians Inc
Same address
Family Medicine
12000 BUSTLETON AVE, SUITE 102
Philadelphia, PA 19116
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
NPI 1295125235 (215) 673-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 12

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

NEIL M COHEN D.O.
Family Medicine
12000 BUSTLETON AVE, SUITE 102
PHILADELPHIA, PA 19116
Philadelphia County (215) 673-7600
JUDY WISKOSKI P.T.
Physical Therapist
12000 BUSTLETON AVE, SUITE 100
PHILADELPHIA, PA 19116
Philadelphia County (215) 677-8870
TEMPLE PHYSICIANS INC
Family Medicine
12000 BUSTLETON AVE, SUITE 102
PHILADELPHIA, PA 19116
Philadelphia County (215) 673-7600
UNIVERSAL SLEEP AND NEURODIAGNOSTIC INC
Specialist/Technologist, Other (Electroneurodiagnostic)
12000 BUSTLETON AVE, SUITE 208
PHILADELPHIA, PA 19116
Philadelphia County (186) 683-7833
AZ ANESTHESIA, PC
Anesthesiology (Pain Medicine)
12000 BUSTLETON AVE, SUITE 208
PHILADELPHIA, PA 19116
Philadelphia County (215) 969-2331
DR SAMUEL LIZERBRAM & DR NEIL M COHEN PC
Family Medicine
12000 BUSTLETON AVE, SUITE 102
PHILADELPHIA, PA 19116
Philadelphia County (215) 673-7600
ADVANCED ANESTHESIA SPECIALISTS, PC
Anesthesiology
12000 BUSTLETON AVE, SUITE 208
PHILADELPHIA, PA 19116
Philadelphia County (215) 969-2331
SOMERTON INDUSTRIAL MEDICINE & REHABILITATION, INC
Physical Therapist
12000 BUSTLETON AVE, SUITE 100
PHILADELPHIA, PA 19116
Philadelphia County (215) 677-8870

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 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.

Where is Samuel Lizerbram located?

Samuel Lizerbram practices at 12000 Bustleton Ave Suite 102, Philadelphia, PA 19116. The listed phone number is (215) 673-7600.

What is Samuel Lizerbram's specialty?

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

Is Samuel Lizerbram enrolled in Medicare?

Yes. Samuel Lizerbram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Lizerbram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Lizerbram reassigns Medicare benefits to Temple Physicians Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Lizerbram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Lizerbram was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.