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LISENA G. VERKA M.D.
NPI 1578700118
Internal Medicine in Durham, NC

Active since January 20, 2009PECOS EnrolledAccepts Medicare Assignment
5832 FAYETTEVILLE RD, SUITE 113, DURHAM, NC 27713(919) 544-6644 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisena G. Verka M.d. NPPES

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

LISENA G. VERKA M.D. (NPI 1578700118) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (2008-01777) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1578700118
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISENA G. VERKACredential: M.D.
Location Address5832 FAYETTEVILLE RD, SUITE 113Durham, NC 27713-6290
Mailing Address5832 Fayetteville Rd, Suite 113Durham, NC 27713-6290 · (919) 544-6644
Phone(919) 544-6644
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 20, 2009
Last NPPES UpdateMarch 25, 2009
✔ NPI 1578700118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2008-01777
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5832 FAYETTEVILLE RD, Durham, NC 27713
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Other Identifiers 2

Medicaid8913522NC
Medicare PIN2023419NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Lisena G. Verka M.d. 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 ID8022175249
PECOS Enrollment IDI20090316000153
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
608 services296 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
227 services227 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
157 services99 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
68 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services55 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers35 claims67 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims23 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers24 claims24 services$39.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$91.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers14 claims37 services$32.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$57.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. NANDITHA JANAKI VIVEKANANTHAN DDS
Dentist (General Practice)
5832 FAYETTEVILLE RD, SUITE 101
DURHAM, NC 27713
Durham County (919) 544-7777
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Internal Medicine
5832 FAYETTEVILLE RD, SUITE 113
DURHAM, NC 27713
Durham County (919) 544-6644
ROBERT W. PATERSON M.D.
Internal Medicine
5832 FAYETTEVILLE RD, SUITE 113
DURHAM, NC 27713
Durham County (919) 544-6644
RANEE CHATTERJEE MONTGOMERY MD
Internal Medicine
5832 FAYETTEVILLE RD, STE 113
DURHAM, NC 27713
Durham County (919) 544-0934
MICHAEL W. MEREDITH M.D.
Internal Medicine
5832 FAYETTEVILLE RD, SUITE 113
DURHAM, NC 27713
Durham County (919) 544-6644
DR. RONALD FREDERICK HALBROOKS MD
Internal Medicine
5832 FAYETTEVILLE RD
DURHAM, NC 27713
Durham County (919) 620-4467
KRISTIN D SMITH NP
Nurse Practitioner
5832 FAYETTEVILLE RD, SUITE 113
DURHAM, NC 27713
Durham County (919) 620-4700
ANITA SHIVADAS MD
Internal Medicine
5832 FAYETTEVILLE RD, SUITE 113
DURHAM, NC 27713
Durham County (919) 544-6644

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 Lisena Verka's NPI number?

The NPI number for Lisena Verka is 1578700118. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Lisena Verka located?

Lisena Verka practices at 5832 Fayetteville Rd Suite 113, Durham, NC 27713. The listed phone number is (919) 544-6644.

What is Lisena Verka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lisena Verka enrolled in Medicare?

Yes. Lisena Verka 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.

What insurance does Lisena Verka accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Lisena Verka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisena Verka affiliated with any hospitals?

According to CMS data, Lisena Verka is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Lisena Verka was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.