LISA J PETERS MD
NPI 1710923164
Plastic Surgery in Forest Park, IL
NPI Status: Active since June 22, 2006
Contact Information
7236 MADISON ST
FOREST PARK, IL
ZIP 60130
Phone: (708) 524-1400
Fax: (708) 524-1441
- Individual
- Female
- Plastic Surgery
- Opted-Out Medicare
About LISA PETERS
This page provides the complete NPI Profile along with additional information for Lisa Peters, a provider established in Forest Park, Illinois with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1710923164 assigned on June 2006. The practitioner's primary taxonomy code is 208200000X with license number 036107308 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1710923164
- Provider Name
- LISA J PETERS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7236 MADISON ST FOREST PARK, IL 60130
- Location Phone
- (708) 524-1400
- Location Fax
- (708) 524-1441
- Mailing Address
- 7236 MADISON ST FOREST PARK, IL 60130
- Mailing Phone
- (708) 524-1400
- Mailing Fax
- (708) 524-1441
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 08-30-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Peters opted out of Medicare effective on 01-01-2022 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036107308
- License State
- IL
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2022
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1710923164, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710923164, enumerated as an "individual" on June 22, 2006.
The provider is located at 7236 MADISON ST FOREST PARK, IL 60130 and the phone number is (708) 524-1400.
Plastic Surgery with taxonomy code 208200000X.
