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LILI ANN LUSTIG D.O.
NPI 1669613592
Family Medicine in Punta Gorda, FL

Active since March 24, 2009PECOS Enrolled
42880 CRESCENT LOOP STE 110, PUNTA GORDA, FL 33982(239) 343-3535(239) 343-4065 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2022, Nov 16, 2020 (2 updates tracked since 2020).

About Lili Ann Lustig D.o. NPPES

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

LILI ANN LUSTIG D.O. (NPI 1669613592) is an individual family medicine provider in Punta Gorda, Florida, licensed in Florida (OS18030) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1669613592
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLILI ANN LUSTIGCredential: D.O.
Location Address42880 CRESCENT LOOP STE 110Punta Gorda, FL 33982-5062
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3535 · Fax (239) 343-4065
Phone(239) 343-3535
Fax(239) 343-4065
Sole ProprietorNo
Enumeration DateMarch 24, 2009
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1669613592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS18030✔ Licensed in OH · 34.010086
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
42880 CRESCENT LOOP STE 110, Punta Gorda, FL 33982
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Other Names 1

Former Name (1)Lili Ann Flax-friedman

Secondary Practice Location 1

Location 12780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857 · Phone (239) 343-3831 · Fax (239) 343-2301

Other Identifiers 1

Medicaid111233800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lili Ann Lustig D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Lili Lustig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
12 mi
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1447099973 (239) 343-6050
Lee Health System Inc
22 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

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 4

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 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.
75 services73 patients
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.
31 services31 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.
31 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33982 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 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 4

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

DR. APRIL KAY BURTON DO
Family Medicine
42880 CRESCENT LOOP STE 110
PUNTA GORDA, FL 33982
Charlotte County (239) 343-3535
JENNIFER D PERKINS ARNP
Nurse Practitioner (Family)
42880 CRESCENT LOOP STE 110
PUNTA GORDA, FL 33982
Charlotte County (239) 343-3535
MITCHELL SCOTT FADLEY DO
Family Medicine
42880 CRESCENT LOOP STE 110
PUNTA GORDA, FL 33982
Charlotte County (239) 343-3535
DR. BUTROS LATOUF M.D.
Internal Medicine
42880 CRESCENT LOOP STE 110
PUNTA GORDA, FL 33982
Charlotte County (239) 343-3535

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 Lili Lustig's NPI number?

The NPI number for Lili Lustig is 1669613592. It was assigned to this individual provider in the NPPES registry on March 24, 2009. The provider is also known as Lili Ann Flax-Friedman.

Where is Lili Lustig located?

Lili Lustig practices at 42880 Crescent Loop Ste 110, Punta Gorda, FL 33982. The listed phone number is (239) 343-3535.

What is Lili Lustig's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lili Lustig enrolled in Medicare?

Yes. Lili Lustig is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lili Lustig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lili Lustig reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lili Lustig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lili Lustig accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lili Lustig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lili Lustig was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.