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DR. LISA MARIKO MAEHARA D.O.
NPI 1760833644
Family Medicine in Southlake, TX

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
3055 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(682) 593-7639(682) 593-0739 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2022, Mar 9, 2022, Oct 23, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Lisa Mariko Maehara D.o. NPPES

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

DR. LISA MARIKO MAEHARA D.O. (NPI 1760833644) is an individual family medicine provider in Southlake, Texas, licensed in Texas (T4420) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Prairie, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2016).

NPPES Registry Identity

NPI1760833644
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA MARIKO MAEHARACredential: D.O.
Location Address3055 W SOUTHLAKE BLVD STE 100Southlake, TX 76092-6730
Mailing Address3055 W Southlake Blvd Ste 100Southlake, TX 76092-6730 · (682) 593-7639 · Fax (682) 593-0739
Phone(682) 593-7639
Fax(682) 593-0739
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateNovember 22, 20225 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1760833644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T4420
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3055 W SOUTHLAKE BLVD STE 100, Southlake, TX 76092
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Secondary Practice Location 1

Location 14560 Lake Ridge Pkwy Ste 200Grand Prairie, TX 75052-1706 · Phone (972) 263-5272 · Fax (214) 201-3030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Mariko Maehara D.o. 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 ID6103119805
PECOS Enrollment IDI20220303000684
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 Maehara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth
21 mi
Urgent Care
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
NPI 1558762690 (972) 522-7778

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 6

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.
88 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
38 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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

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

MARIAH FIORILLO BURNELL D.O.
Family Medicine
3055 W SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (682) 593-7639

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 Maehara's NPI number?

The NPI number for Lisa Maehara is 1760833644. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Lisa Maehara located?

Lisa Maehara practices at 3055 W Southlake Blvd Ste 100, Southlake, TX 76092. The listed phone number is (682) 593-7639.

What is Lisa Maehara's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Maehara enrolled in Medicare?

Yes. Lisa Maehara 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 Maehara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Maehara reassigns Medicare benefits to Medhealth (Grand Prairie, TX). 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 Maehara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Maehara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas and 6 other insurers list Lisa Maehara 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 Lisa Maehara was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.