DR. LISA JANE GILLIS MD
NPI 1639680614
Medical Genetics - Clinical Genetics (M.D.) in St Petersburg, FL
NPI Status: Active since October 18, 2017
Contact Information
601 5TH ST S
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 767-8491
- Individual
- Female
- Years of Experience 23
- Medical Genetics
- Clinical Genetics (M.D.)
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About LISA GILLIS
This page provides the complete NPI Profile along with additional information for Lisa Gillis, a provider established in St Petersburg, Florida with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) and more than 23 years of experience. She graduated from Dalhousie University, Faculty Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1639680614 assigned on October 2017. The practitioner's primary taxonomy code is 207SG0201X with license number C152190 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1639680614
- Provider Name
- DR. LISA JANE GILLIS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 5TH ST S ST PETERSBURG, FL 33701
- Location Phone
- (727) 767-8491
- Mailing Address
- 601 5TH ST S ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 767-8491
- Medical School Name
- DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2017
- Last Update Date
- 06-20-2024
- Code Navigator
Location Map
Secondary Locations
- 9300 Valley Childrens Pl Ste 117
Madera, CA 93636
(559) 353-6400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C152190
- License State
- CA
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Medicare Participation & PECOS Enrollment Status
Lisa Gillis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lisa Gillis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9638541352
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250603000138
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 20% | 20 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639680614, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
SAINT PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
SAINT PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639680614, enumerated as an "individual" on October 18, 2017.
The provider is located at 601 5TH ST S ST PETERSBURG, FL 33701 and the phone number is (727) 767-8491.
Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).
