MATTHEW LISI
NPI 1871736157
Pediatrics in Charlotte, NC
About Matthew Lisi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW LISI (NPI 1871736157) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2016-01243) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of University Of Maryland School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Matthew Lisi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Lisi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Matthew Lisi's NPI number?
The NPI number for Matthew Lisi is 1871736157. It was assigned to this individual provider in the NPPES registry on April 15, 2009.
Where is Matthew Lisi located?
Matthew Lisi practices at 1001 Blythe Blvd Suite 200D, Charlotte, NC 28203. The listed phone number is (704) 373-1813.
What is Matthew Lisi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Matthew Lisi enrolled in Medicare?
Yes. Matthew Lisi 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 organizations bill Medicare for Matthew Lisi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lisi reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network, Inc. (Charlotte, NC) and Wake Forest University Health Sciences (Lexington, NC). 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 Matthew Lisi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Lisi accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 5 other insurers list Matthew Lisi 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 Matthew Lisi affiliated with any hospitals?
According to CMS data, Matthew Lisi is affiliated with North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Lisi was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Matthew Lisi · NPI 1871736157
Pediatrics physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since April 15, 2009.
## Identity
- **NPI:** 1871736157 (Entity type: Individual)
- **Enumerated:** April 15, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2016-01243 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 BLYTHE BLVD, SUITE 200D, Charlotte, NC 28203-5866
- **Phone:** (704) 373-1813
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network, Inc. (NPI 1215289665, Charlotte, NC); Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** November 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1871736157) · Data from the CMS NPPES public registry.