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DR. LISA MARIE FORTIN M.D.
NPI 1770794992
Radiology - Diagnostic Radiology in Petoskey, MI

Active since May 28, 2007
712 PLEASANT ST, PETOSKEY, MI 49770(231) 489-8060 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa Marie Fortin M.d. NPPES

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

DR. LISA MARIE FORTIN M.D. (NPI 1770794992) is an individual diagnostic radiology provider in Petoskey, Michigan, licensed in Michigan (4301088394) and active in the NPI registry since May 2007. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1770794992
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LISA MARIE FORTINCredential: M.D.
Location Address712 PLEASANT STPetoskey, MI 49770-2841
Mailing Address712 Pleasant StPetoskey, MI 49770-2841
Phone(231) 489-8060
Sole ProprietorNo
Enumeration DateMay 28, 2007
Last NPPES UpdateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1770794992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301088394
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 4301088394 (MI)
712 PLEASANT ST, Petoskey, MI 49770
Open in Google Maps ↗

Secondary Practice Location 1

Location 12799 W Grand Blvd, Henry Ford HospitalDetroit, MI 48202-2608 · Phone (313) 916-1384

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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
91%334 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%53 patients
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.

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 Fortin's NPI number?

The NPI number for Lisa Fortin is 1770794992. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is Lisa Fortin located?

Lisa Fortin practices at 712 Pleasant St, Petoskey, MI 49770. The listed phone number is (231) 489-8060.

What is Lisa Fortin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lisa Fortin was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.