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DR. LISA PEDEVILLANO DO
NPI 1720433535
Surgery - Vascular Surgery in Philadelphia, PA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
9501 ROOSEVELT BLVD STE 312, PHILADELPHIA, PA 19114(215) 331-7001(215) 331-7004 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Pedevillano Do NPPES

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

DR. LISA PEDEVILLANO DO (NPI 1720433535) is an individual vascular surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS023186) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720433535
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. LISA PEDEVILLANOCredential: DO
Location Address9501 ROOSEVELT BLVD STE 312Philadelphia, PA 19114-1028
Mailing Address1430 W Sherman AveVineland, NJ 08360-6927 · (845) 797-5195
Phone(215) 331-7001
Fax(215) 331-7004
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1720433535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · OS023186
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
9501 ROOSEVELT BLVD STE 312, Philadelphia, PA 19114
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1240 Middletown Blvd Ste 101DLanghorne, PA 19047-1832 · Phone (215) 331-7001 · Fax (215) 331-7004
Location 21430 W Sherman AveVineland, NJ 08360-6927 · Phone (845) 797-5195

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Lisa Pedevillano Do 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 ID6305292863
PECOS Enrollment IDI20231019003525
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 Reassignment

Medicare enrollment records show Lisa Pedevillano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Health Physician Services
Same address
Clinical
9501 ROOSEVELT BLVD STE 206B
Philadelphia, PA 19114
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 490 clinicians in this Medicare group
NPI 1023621471 (215) 671-8900

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 8

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.
61 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MARK BALCENIUK
Surgery (Vascular Surgery)
9501 ROOSEVELT BLVD STE 312
PHILADELPHIA, PA 19114
Philadelphia County (215) 331-7001
ARIA HEALTH PHYSICIAN SERVICES
Surgery
9501 ROOSEVELT BLVD STE 312
PHILADELPHIA, PA 19114
Philadelphia County (215) 331-7001

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 Pedevillano's NPI number?

The NPI number for Lisa Pedevillano is 1720433535. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Lisa Pedevillano located?

Lisa Pedevillano practices at 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114. The listed phone number is (215) 331-7001.

What is Lisa Pedevillano's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Lisa Pedevillano enrolled in Medicare?

Yes. Lisa Pedevillano 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 organization bills Medicare for Lisa Pedevillano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pedevillano reassigns Medicare benefits to Aria Health Physician Services (Philadelphia, PA). The 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 Pedevillano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Pedevillano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lisa Pedevillano 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.

Is Lisa Pedevillano affiliated with any hospitals?

According to CMS data, Lisa Pedevillano is affiliated with Jefferson Health- Northeast and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Pedevillano was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.