MS. LISA CARROLL RADEBAUGH N.P.
NPI 1588688345
Nurse Practitioner - Adult Health in Lutherville, MD

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
10753 FALLS RD PAVILION II, SUITE 415, LUTHERVILLE, MD 21093(410) 583-2970(410) 583-2980 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Lisa Carroll Radebaugh N.p. NPPES

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

MS. LISA CARROLL RADEBAUGH N.P. (NPI 1588688345) is an individual adult health provider in Lutherville, Maryland, licensed in Maryland (R080294) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1588688345
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LISA CARROLL RADEBAUGHCredential: N.P.
Location Address10753 FALLS RD PAVILION II, SUITE 415Lutherville, MD 21093-2967
Mailing Address40 Tudor CtLutherville, MD 21093-2967 · (410) 308-4822
Fax(410) 583-2980
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588688345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R080294
10753 FALLS RD PAVILION II, Lutherville, MD 21093

Other Identifiers 7

Other53410801MD · Blue Shield
Medicare ID-Type UnspecifiedH996MD
Other0092MD · Carefirst Regional
Medicaid972003100MD
Medicare ID-Type UnspecifiedP00125158MD · Railroad
Other242566MD · Kaiser
Medicare UPINP33661MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Carroll Radebaugh N.p. 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 ID8628066420
PECOS Enrollment IDI20100504000433
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 Reassignments

3

Medicare enrollment records show Lisa Radebaugh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
10803 FALLS RD PAVILION III, STE 3100
Lutherville, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 444 clinicians in this Medicare group
Obstetrics & Gynecology
1777 REISTERSTOWN RD, STE 235C
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: St Paul Place Specialists, Inc.
  • 423 clinicians in this Medicare group
Family Medicine
301 SAINT PAUL PL, 12TH FLOOR MCAULEY TOWER
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 257 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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 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.
308 services289 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 services32 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
29 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 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.
19 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers14 claims14 services$20.49 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers21 claims21 services$8.17 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
3 suppliers11 claims12 services$72.71 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers13 claims13 services$240.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Radebaugh's NPI number?

The NPI number for Lisa Radebaugh is 1588688345. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Lisa Radebaugh located?

Lisa Radebaugh practices at 10753 Falls Rd Pavilion II Suite 415, Lutherville, MD 21093. The listed phone number is (410) 583-2970.

What is Lisa Radebaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Radebaugh enrolled in Medicare?

Yes. Lisa Radebaugh 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.

Which organizations bill Medicare for Lisa Radebaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Radebaugh reassigns Medicare benefits to 3 organizations: Greater Baltimore Medical Center, Inc. (Lutherville, MD), Saint Paul Place Specialists, Inc. (Pikesville, MD) and Maryland Family Care, Inc. (Baltimore, MD). Each 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 Lisa Radebaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Radebaugh affiliated with any hospitals?

According to CMS data, Lisa Radebaugh is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Radebaugh 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.