LISA MARIE ANTONIO MD
NPI 1679951438
Family Medicine in Sitka, AK

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
222 TONGASS DR, SITKA, AK 99835(907) 966-8318(907) 966-8606 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2018, Dec 19, 2016 (2 updates tracked since 2016).

About Lisa Marie Antonio Md NPPES

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

LISA MARIE ANTONIO MD (NPI 1679951438) is an individual family medicine provider in Sitka, Alaska, licensed in Alaska (134059) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2015).

NPPES Registry Identity

NPI1679951438
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA MARIE ANTONIOCredential: MD
Location Address222 TONGASS DRSitka, AK 99835
Mailing Address3100 Channel Dr Ste 300Juneau, AK 99801-7837 · (907) 463-4074 · Fax (907) 463-1510
Fax(907) 966-8606
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2015
Enumeration DateMay 13, 2015
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
NPI 1679951438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AK · 134059
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MED-RES-LIC 52169 (MT)
222 TONGASS DR, Sitka, AK 99835

Other Identifiers 1

Other134059AK · State License

Accepted Insurance

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 Marie Antonio 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 ID3072820760
PECOS Enrollment IDI20181025000137
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 7

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 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.
223 services114 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.
113 services76 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.
34 services28 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
31 services11 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
19 services19 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99835 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$114.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$37.57 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 20

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

Physical Therapist
222 TONGASS DR
SITKA, AK 99835
General Acute Care Hospital (Rural)
222 TONGASS DR
SITKA, AK 99835
Dietitian, Registered
222 TONGASS DR
SITKA, AK 99835
Psychiatry & Neurology (Psychiatry)
222 TONGASS DR, SEARHC CLINIC II
SITKA, AK 99835
Dentist (General Practice)
222 TONGASS DR
SITKA, AK 99835
Speech-Language Pathologist
222 TONGASS DR
SITKA, AK 99835
Counselor (Mental Health)
222 TONGASS DR
SITKA, AK 99835
Pharmacist
222 TONGASS DR
SITKA, AK 99835

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 Antonio's NPI number?

The NPI number for Lisa Antonio is 1679951438. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Lisa Antonio located?

Lisa Antonio practices at 222 Tongass Dr, Sitka, AK 99835. The listed phone number is (907) 966-8318.

What is Lisa Antonio's specialty?

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

Is Lisa Antonio enrolled in Medicare?

Yes. Lisa Antonio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Antonio accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lisa Antonio 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 Lisa Antonio was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.