DR. LISANI PATRICIA ESTOPINAN M.D.
NPI 1588977243
Internal Medicine in Bountiful, UT

Q: What is Lisani Estopinan's NPI number?

The NPI number for Lisani Estopinan is 1588977243. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Q: What is Lisani Estopinan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisani Estopinan was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 22, 2010PECOS EnrolledAccepts Medicare Assignment

520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010(801) 292-1422(801) 296-0436 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2020, Mar 26, 2020, Feb 27, 2017 (3 updates tracked since 2017).

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About Dr. Lisani Patricia Estopinan M.d. NPPES

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

DR. LISANI PATRICIA ESTOPINAN M.D. (NPI 1588977243) is an individual internal medicine provider in Bountiful, Utah, licensed in Utah (10750100-1205) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1588977243

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LISANI PATRICIA ESTOPINANCredential: M.D.

Location Address520 MEDICAL DR STE 300Bountiful, UT 84010-8925

Mailing Address520 Medical Dr Ste 300Bountiful, UT 84010-8925 · (801) 292-1422 · Fax (801) 296-0436

Phone(801) 292-1422

Fax(801) 296-0436

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 22, 2010

Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration

NPPES CertifiedAugust 18, 2020

✔ NPI 1588977243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 10750100-1205

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.

520 MEDICAL DR STE 300, Bountiful, UT 84010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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

Dr. Lisani Patricia Estopinan 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 ID244472215

PECOS Enrollment IDI20180405000913

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

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

Provider Profile

Same address

Internal Medicine

520 MEDICAL DR STE 300
Bountiful, UT 84010

Reassigned Medicare billing, Utah enrollment
35 clinicians in this Medicare group

NPI 1205221405 (801) 292-1422

University Of Utah Community Physicians Group

2.2 mi

Family Medicine

26 S MAIN ST
Centerville, UT 84014

Reassigned Medicare billing, Utah enrollment
295 clinicians in this Medicare group

NPI 1699179267 (801) 693-7900

Utah Regional Hospitalists LLC

17 mi

Hospitalist

5505 S 900 E STE 240
Murray, UT 84117

Reassigned Medicare billing, Utah enrollment
271 clinicians in this Medicare group

NPI 1962821223 (844) 474-4019

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 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.

192 services114 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

81 services81 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.

76 services76 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

43 services43 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

35 services35 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.

18 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460005

Location5475 South 500 EastOgden, UT 84405 · Weber County

Emergency services

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT

OwnershipProprietary

CMS Certification Number460017

Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County

Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460042

Location630 East Medical DriveBountiful, UT 84010 · Davis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%177 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

7 suppliers15 claims40 services$5.94 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers16 claims16 services$39.75 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers17 claims36 services$36.41 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$20.41 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers14 claims71 services$2.49 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.44 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 11

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

WASATCH SURGICAL LLC

Surgery