EMMA LAUREN LIETZ
NPI 1942948120
Physician Assistant in Largo, MD

Active since May 26, 2022PECOS EnrolledAccepts Medicare Assignment
76.06/100
CMS Quality Rating
1221 MERCANTILE LN, LARGO, MD 20774(301) 618-5500 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Dec 5, 2023, Oct 18, 2023 and 2 more (5 updates tracked since 2022).

About Emma Lauren Lietz NPPES

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

EMMA LAUREN LIETZ (NPI 1942948120) is an individual physician assistant in Largo, Maryland, licensed in Virginia (0110008741) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942948120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA LAUREN LIETZ
Location Address1221 MERCANTILE LNLargo, MD 20774-5374
Mailing Address1221 Mercantile LnLargo, MD 20774-5374 · (301) 618-7184
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2022
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1942948120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110008741
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1221 MERCANTILE LN, Largo, MD 20774

Other Identifiers 1

Medicaid30017491380002VA

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

Emma Lauren Lietz 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 ID9830565456
PECOS Enrollment IDI20221021001202
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.41
Improvement Activities40
Cost59.79

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.

Psychiatry & Neurology (Psychiatry)
1221 MERCANTILE LN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Internal Medicine
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1221 MERCANTILE LN, DEPT OF OBGYN
LARGO, MD 20774
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Physician Assistant
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Urology
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774

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 Emma Lietz's NPI number?

The NPI number for Emma Lietz is 1942948120. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Emma Lietz located?

Emma Lietz practices at 1221 Mercantile Ln, Largo, MD 20774. The listed phone number is (301) 618-5500.

What is Emma Lietz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emma Lietz enrolled in Medicare?

Yes. Emma Lietz 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.

When was this NPI record last updated?

The NPPES record for Emma Lietz was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.