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DAVID LISAN D.O.
NPI 1629148945
General Practice in Penn Valley, PA

Active since November 08, 2006
913 MONTGOMERY AVE, PENN VALLEY, PA 19072(610) 664-3400(610) 664-8482 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Lisan D.o. NPPES

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

DAVID LISAN D.O. (NPI 1629148945) is an individual general practice provider in Penn Valley, Pennsylvania, licensed in Pennsylvania (OS009840L) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629148945
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID LISANCredential: D.O.
Location Address913 MONTGOMERY AVEPenn Valley, PA 19072-1501
Mailing Address913 Montgomery AvePenn Valley, PA 19072-1501 · (610) 664-3400 · Fax (610) 664-8482
Phone(610) 664-3400
Fax(610) 664-8482
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 12, 2016
✔ NPI 1629148945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PA · OS009840L✔ Licensed in FL · OS7820
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical TherapistTaxonomy 225100000X · License PT21515 (FL), DAPT001519 (PA), PT007501L (PA)
913 MONTGOMERY AVE, Penn Valley, PA 19072
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Other Identifiers 3

Medicare UPING79814PA
Medicare PIN063841YVUFPA
Medicare PIN37813PA

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…
100%563 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%852 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%271 patients5/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
100%449 patients5/55-star benchmark: 88%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%116 patients5/55-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.

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 David Lisan's NPI number?

The NPI number for David Lisan is 1629148945. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is David Lisan located?

David Lisan practices at 913 Montgomery Ave, Penn Valley, PA 19072. The listed phone number is (610) 664-3400.

What is David Lisan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for David Lisan was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.