LISA MARIE BACLAWSKI M.D.
NPI 1730486945
Obstetrics & Gynecology in Ithaca, NY

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment
20 ARROWOOD DR, ITHACA, NY 14850(607) 266-7800 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1730486945
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA MARIE BACLAWSKICredential: M.D.
Location Address20 ARROWOOD DRIthaca, NY 14850-1869
Mailing Address1315 Hospital DrSt Johnsbury, VT 05819-9210
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 24, 2011
Last NPPES UpdateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
NPI 1730486945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 270056
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 ARROWOOD DR, Ithaca, NY 14850

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4880824267
PECOS Enrollment IDI20210823002499
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.

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, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
90%21 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%24 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%60 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
90%21 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
88%24 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Legal Medicine
20 ARROWOOD DR
ITHACA, NY 14850
Plastic Surgery
20 ARROWOOD DR, SUITE B
ITHACA, NY 14850
Obstetrics & Gynecology (Gynecology)
20 ARROWOOD DR
ITHACA, NY 14850
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Obstetrics & Gynecology
20 ARROWOOD DR
ITHACA, NY 14850
Midwife
20 ARROWOOD DR
ITHACA, NY 14850
Midwife
20 ARROWOOD DR, SUITE A
ITHACA, NY 14850

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.

What insurance does Lisa Baclawski accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld 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 with the weekly NPPES data releases published by CMS.