LISA MARIE OLDHAM M.D.
NPI 1689636904
Obstetrics & Gynecology - Gynecology in Craig, CO
About Lisa Marie Oldham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE OLDHAM M.D. (NPI 1689636904) is an individual gynecology provider in Craig, Colorado, licensed in Colorado (DR.0076480) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Washington University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Marie Oldham M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lisa Oldham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Craig, CO 81625
- Reassigned Medicare billing, Colorado enrollment
- 64 clinicians in this Medicare group
West Chicago, IL 60185
- Reassigned Medicare billing, Illinois enrollment
- 413 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rush University Medical Group
- 2,169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CRAIG, CO 81625
CRAIG, CO 81625
CRAIG, CO 81625
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 Oldham's NPI number?
The NPI number for Lisa Oldham is 1689636904. It was assigned to this individual provider in the NPPES registry on April 3, 2006.
Where is Lisa Oldham located?
Lisa Oldham practices at 750 Hospital Loop, Craig, CO 81625. The listed phone number is (970) 824-9411.
What is Lisa Oldham's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Lisa Oldham enrolled in Medicare?
Yes. Lisa Oldham 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.
Which organizations bill Medicare for Lisa Oldham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Oldham reassigns Medicare benefits to 3 organizations: The Memorial Hospital (Craig, CO), Access Community Health Network (West Chicago, IL) and Rush University Medical Center (Oak Brook, IL). 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 Lisa Oldham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Oldham accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Lisa Oldham 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 Oldham was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Lisa Marie Oldham, M.D. · NPI 1689636904
Gynecology physician in Craig, Colorado. Individual provider, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1689636904 (Entity type: Individual)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** DR.0076480 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 HOSPITAL LOOP, Craig, CO 81625-8750
- **Phone:** (970) 824-9411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Memorial Hospital (NPI 1063418424, Craig, CO); Access Community Health Network (NPI 1710065164, West Chicago, IL); Rush University Medical Center (NPI 1801375696, Oak Brook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** October 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1689636904) · Data from the CMS NPPES public registry.