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LISA R BARDACK MD
NPI 1669421053
Internal Medicine in Mount Kisco, NY

Active since May 10, 2006Opted out of Medicare · through Mar 18, 2028
90 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549(914) 241-1050(914) 242-1516 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 11, 2016, Sep 23, 2016 (2 updates tracked since 2016).

About Lisa R Bardack Md NPPES

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

LISA R BARDACK MD (NPI 1669421053) is an individual internal medicine provider in Mount Kisco, New York, licensed in New York (187980) and active in the NPI registry since May 2006. She has opted out of Medicare through March 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669421053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA R BARDACKCredential: MD
Location Address90 S BEDFORD RD, CARE MOUNT MEDICAL PCMount Kisco, NY 10549-3412
Mailing Address110 S Bedford Rd, Care Mount Medical PcMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-1516
Phone(914) 241-1050
Fax(914) 242-1516
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 11, 20162 updates tracked since enumeration
✔ NPI 1669421053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 187980
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.
90 S BEDFORD RD, Mount Kisco, NY 10549
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Other Identifiers 6

Medicare UPINF56403NY
Medicare PIN60H1906761NY
Medicaid01435758NY
Other0667910001NY · Dme
Medicare PIN60H191NY
Other110153364NY · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa R Bardack Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2024 through March 18, 2028.

Opt-Out Effective DateMarch 18, 2024
Opt-Out In Effect ThroughMarch 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 20

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

KIMBERLY ERIN CHU MD
Pathology (Anatomic Pathology & Clinical Pathology)
90 S BEDFORD RD, CAREMOUNT MEDICAL PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
PAUL D KANDEL MD
Internal Medicine
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
KAYLA MANCUSI RN
Registered Nurse (Women's Health Care, Ambulatory)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 242-1380
CORINNE MARIE REILLY PA
Physician Assistant
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
ALPHONSE AVERSA MD
Internal Medicine
90 S BEDFORD RD, CARE MOUNT MEDICAL RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
HENRY HERMAN JANSSEN JR. M.D.
Radiology (Diagnostic Radiology)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
LARA K NAYOR NP
Nurse Practitioner (Family)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
DR. RENE TALAI MD
Family Medicine
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 242-1050

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 Bardack's NPI number?

The NPI number for Lisa Bardack is 1669421053. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Lisa Bardack located?

Lisa Bardack practices at 90 S Bedford Rd Care Mount Medical PC, Mount Kisco, NY 10549. The listed phone number is (914) 241-1050.

What is Lisa Bardack's specialty?

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

Is Lisa Bardack enrolled in Medicare?

No. Lisa Bardack has opted out of Medicare through March 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Bardack was last updated on November 11, 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.