LISA HERTZ MD
NPI 1639237720
Internal Medicine - Gastroenterology in Los Alamitos, CA

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4772 KATELLA AVE, #200, LOS ALAMITOS, CA 90720(562) 596-5552(562) 596-5340 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2025, Mar 15, 2017, Feb 1, 2017 (3 updates tracked since 2017).

About Lisa Hertz Md NPPES

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

LISA HERTZ MD (NPI 1639237720) is an individual gastroenterology provider in Los Alamitos, California, licensed in California (G59291) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1984).

NPPES Registry Identity

NPI1639237720
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameLISA HERTZCredential: MD
Location Address4772 KATELLA AVE, #200Los Alamitos, CA 90720-2600
Mailing Address4772 Katella Ave, #200Los Alamitos, CA 90720-2600 · (562) 596-5552 · Fax (562) 596-5340
Fax(562) 596-5340
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1984
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1639237720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · G59291
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4772 KATELLA AVE, Los Alamitos, CA 90720

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

Lisa Hertz Md 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 ID1052350915
PECOS Enrollment IDI20050502000315
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
354 services231 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
345 services119 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.
203 services170 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
82 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
61 services61 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
93%44 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
93%332 patients4/55-star benchmark: 99%
Appropriate management of anticoagulation in the peri-procedural period rate - EGD
Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulant who leave the endoscopy unit with instructions for management of this medication
98%57 patients4/55-star benchmark: 100%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
1%248 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
68%435 patients3/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
95%445 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
21%445 patients2/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
13%31 patients1/55-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.

Other Providers at the Same Location NPPES 7

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

Specialist
4772 KATELLA AVE, SUITE 100
LOS ALAMITOS, CA 90720
Chiropractor
4772 KATELLA AVE, STE. # 102
LOS ALAMITOS, CA 90720
Acupuncturist
4772 KATELLA AVE, #102
LOS ALAMITOS, CA 90720
Occupational Therapist
4772 KATELLA AVE, SUITE 100
LOS ALAMITOS, CA 90720
Chiropractor
4772 KATELLA AVE, SUITE 102
LOS ALAMITOS, CA 90720
Internal Medicine (Gastroenterology)
4772 KATELLA AVE, #200
LOS ALAMITOS, CA 90720
Physician Assistant
4772 KATELLA AVE, ST 200
LOS ALAMITOS, CA 90720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639237720, enumerated as an "individual" on December 04, 2006.

The provider is located at 4772 KATELLA AVE #200 LOS ALAMITOS, CA 90720 and the phone number is (562) 596-5552.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.