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LYDIA ANN FUSETTI M.D.
NPI 1871508374
Pediatrics in Corvallis, OR

Active since July 31, 2006PECOS Enrolled
97.83/100
CMS Quality Rating
1835 NW KINGS BLVD, CORVALLIS, OR 97330(541) 753-3542(541) 752-0952 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Lydia Ann Fusetti M.d. NPPES

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

LYDIA ANN FUSETTI M.D. (NPI 1871508374) is an individual pediatrics provider in Corvallis, Oregon, licensed in Oregon (MD12443) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871508374
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLYDIA ANN FUSETTICredential: M.D.
Location Address1835 NW KINGS BLVDCorvallis, OR 97330
Mailing Address1835 Nw Kings BlvdCorvallis, OR 97330 · (541) 753-3542 · Fax (541) 752-0952
Phone(541) 753-3542
Fax(541) 752-0952
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1871508374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD12443
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1835 NW KINGS BLVD, Corvallis, OR 97330
Open in Google Maps ↗

Other Identifiers 1

Medicaid268359OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 (PECOS)

Lydia Ann Fusetti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Lydia Fusetti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Hospital Corvallis
0.5 mi
Adolescent and Children Mental Health
1112 NW CIRCLE BLVD
Corvallis, OR 97330
  • Reassigned Medicare billing, Oregon enrollment
  • 522 clinicians in this Medicare group
NPI 1417266511 (541) 768-1220
Albany General Hospital
8.4 mi
Family Medicine
1086 7TH AVE SW STE 101
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group
NPI 1306679816 (541) 812-5530
University Professional Services
37 mi
General Practice
3311 RIVERBEND DR
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1568601607 (503) 494-4481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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 Lydia Fusetti's NPI number?

The NPI number for Lydia Fusetti is 1871508374. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Lydia Fusetti located?

Lydia Fusetti practices at 1835 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 753-3542.

What is Lydia Fusetti's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lydia Fusetti enrolled in Medicare?

Yes. Lydia Fusetti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Fusetti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Fusetti reassigns Medicare benefits to 3 organizations: Good Samaritan Hospital Corvallis (Corvallis, OR), Albany General Hospital (Albany, OR) and University Professional Services (Springfield, OR). Each 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 Lydia Fusetti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Fusetti accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lydia Fusetti 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 Lydia Fusetti was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.