LISA CHRISTINE PETROV DDS
NPI 1962577296
Dentist - Endodontics in Elyria, OH

Active since November 21, 2006PECOS Enrolled
1212 NORTH ABBE RD STE C, ELYRIA, OH 44035(440) 366-5530(440) 366-5211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Christine Petrov Dds NPPES

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

LISA CHRISTINE PETROV DDS (NPI 1962577296) is an individual endodontics provider in Elyria, Ohio, licensed in Ohio (20368) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962577296
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameLISA CHRISTINE PETROVCredential: DDS
Location Address1212 NORTH ABBE RD STE CElyria, OH 44035-1649
Mailing Address1212 North Abbe Rd Ste CElyria, OH 44035-1649 · (440) 366-5530 · Fax (440) 366-5211
Fax(440) 366-5211
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962577296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in OH · 20368
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1212 NORTH ABBE RD STE C, Elyria, OH 44035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Christine Petrov Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Dentist (General Practice)
1212 NORTH ABBE RD STE C
ELYRIA, OH 44035
Dentist (Endodontics)
1212 NORTH ABBE RD STE C
ELYRIA, OH 44035

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 Petrov's NPI number?

The NPI number for Lisa Petrov is 1962577296. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Lisa Petrov located?

Lisa Petrov practices at 1212 North Abbe Rd Ste C, Elyria, OH 44035. The listed phone number is (440) 366-5530.

What is Lisa Petrov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Lisa Petrov enrolled in Medicare?

Yes. Lisa Petrov is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Petrov accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Lisa Petrov 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 Lisa Petrov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.