DR. LISA MARIE CANNON M.D.
NPI 1841450640
Colon & Rectal Surgery in Chicago, IL

Q: What is Lisa Cannon's NPI number?

The NPI number for Lisa Cannon is 1841450640. It was assigned to this individual provider in the NPPES registry on June 15, 2008.

Q: What is Lisa Cannon's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Cannon was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2008PECOS EnrolledAccepts Medicare Assignment

90.58/100

CMS Quality Rating

5841 S MARYLAND AVE, MC 5094, CHICAGO, IL 60637(773) 834-3631 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Lisa Marie Cannon M.d. NPPES

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

DR. LISA MARIE CANNON M.D. (NPI 1841450640) is an individual colon & rectal surgery provider in Chicago, Illinois, licensed in Illinois (036.132206) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2008).

NPPES Registry Identity

NPI1841450640

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameDR. LISA MARIE CANNONCredential: M.D.

Location Address5841 S MARYLAND AVE, MC 5094Chicago, IL 60637-1447

Mailing Address2300 N Lincoln Park W, 1208Chicago, IL 60614-3456 · (585) 313-9787

Phone(773) 834-3631

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2008

Enumeration DateJune 15, 2008

Last NPPES UpdateJune 30, 2023

✔ NPI 1841450640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Licenses✔ Licensed in IL · 036.132206✔ Licensed in NY · 263195

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 036.132206 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

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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

Dr. Lisa Marie Cannon 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 ID143449280

PECOS Enrollment IDI20190528001123

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.

Areas of Expertise CMS Part B claims

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 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.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

90.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

56.5

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Other Providers at the Same Location NPPES 20

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

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