LISA MARIE BACLAWSKI M.D.
NPI 1730486945
Obstetrics & Gynecology in Ithaca, NY
About Lisa Marie Baclawski M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE BACLAWSKI M.D. (NPI 1730486945) is an individual obstetrics & gynecology provider in Ithaca, New York, licensed in New York (270056) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Northeastern Vermont Regional Hospital, 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
Lisa Marie Baclawski 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 Reassignment
Medicare enrollment records show Lisa Baclawski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Johnsbury, VT 05819
- Reassigned Medicare billing, Vermont enrollment
- 16 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeastern Vermont Regional Hospital
Critical Access Hospitals · Saint Johnsbury, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Baclawski's NPI number?
The NPI number for Lisa Baclawski is 1730486945. It was assigned to this individual provider in the NPPES registry on February 24, 2011.
Where is Lisa Baclawski located?
Lisa Baclawski practices at 20 Arrowood Dr, Ithaca, NY 14850. The listed phone number is (607) 266-7800.
What is Lisa Baclawski's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lisa Baclawski enrolled in Medicare?
Yes. Lisa Baclawski 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 Baclawski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Baclawski reassigns Medicare benefits to Northeastern Vermont Regional Hospital, Inc (St Johnsbury, VT). 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 Baclawski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Baclawski accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Lisa Baclawski 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 Baclawski affiliated with any hospitals?
According to CMS data, Lisa Baclawski is affiliated with Northeastern Vermont Regional Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Baclawski was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa Marie Baclawski, M.D. · NPI 1730486945
Obstetrics & Gynecology physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since February 24, 2011.
## Identity
- **NPI:** 1730486945 (Entity type: Individual)
- **Enumerated:** February 24, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 270056 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 ARROWOOD DR, Ithaca, NY 14850-1869
- **Phone:** (607) 266-7800
## 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:** Northeastern Vermont Regional Hospital, Inc (NPI 1831132299, St Johnsbury, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730486945) · Data from the CMS NPPES public registry.