1. Home
  2. Directory
  3. New York
  4. Geneva
  5. Dentist
  6. NPI Profile

DR. LISA KAY MULKIN D.D.S.
NPI 1902916307
Dentist - Oral and Maxillofacial Surgery in Geneva, NY

Active since August 30, 2006Opted out of Medicare · through Feb 2, 2028
404 WILLIAM ST, GENEVA, NY 14456(315) 789-3067(315) 789-0056 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Nov 30, 2021 (2 updates tracked since 2021).

About Dr. Lisa Kay Mulkin D.d.s. NPPES

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

DR. LISA KAY MULKIN D.D.S. (NPI 1902916307) is an individual oral and maxillofacial surgery provider in Geneva, New York, licensed in New York (050514-1) and active in the NPI registry since August 2006. She has opted out of Medicare through February 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902916307
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LISA KAY MULKINCredential: D.D.S.
Location Address404 WILLIAM STGeneva, NY 14456-2143
Mailing Address404 William StGeneva, NY 14456-2143 · (315) 789-3067 · Fax (315) 789-0056
Phone(315) 789-3067
Fax(315) 789-0056
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1902916307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 050514-1
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 050514-1 (NY)
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 050514-1 (NY)
404 WILLIAM ST, Geneva, NY 14456
Open in Google Maps ↗

Other Identifiers 2

Other050514NY · New York State License
Other70455LMNY · Bc/bs Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Kay Mulkin D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2016 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2016
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14456 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

DR. TERESA JANE SKALYO DDS
Dentist
404 WILLIAM ST
GENEVA, NY 14456
Ontario County (315) 789-6057
MR. RALPH DEFELICE DDS
Dentist (General Practice)
404 WILLIAM ST
GENEVA, NY 14456
Ontario County (315) 789-3067
SIA N. HERSINI, DMD, PC
Dentist (General Practice)
404 WILLIAM ST, SUITE D
GENEVA, NY 14456
Ontario County (315) 789-9054
DR. LAUREN E. VITKUS D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
404 WILLIAM ST, SUITE 4
GENEVA, NY 14456
Ontario County (315) 789-2045

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 Mulkin's NPI number?

The NPI number for Lisa Mulkin is 1902916307. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Lisa Mulkin located?

Lisa Mulkin practices at 404 William St, Geneva, NY 14456. The listed phone number is (315) 789-3067.

What is Lisa Mulkin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lisa Mulkin enrolled in Medicare?

No. Lisa Mulkin has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Mulkin was last updated on March 7, 2023. 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.