DAVID M LESSENS MD
NPI 1710111398
Family Medicine in Madison, WI
About David M Lessens Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID M LESSENS MD (NPI 1710111398) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (55024) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
David M Lessens 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Lessens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sutton, AK 99674
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Anchorage, AK 99518
- Reassigned Medicare billing, Texas enrollment
- 32 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 David Lessens's NPI number?
The NPI number for David Lessens is 1710111398. It was assigned to this individual provider in the NPPES registry on May 11, 2009.
Where is David Lessens located?
David Lessens practices at 5618 Odana Road, Madison, WI 53719. The listed phone number is (608) 274-1100.
What is David Lessens's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Lessens enrolled in Medicare?
Yes. David Lessens 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 David Lessens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Lessens reassigns Medicare benefits to 3 organizations: Southcentral Foundation (Sutton, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and Aleutian Pribilof Islands Association, Inc. (Anchorage, AK). 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 David Lessens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Lessens accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list David Lessens 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 David Lessens was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.