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LISA HEATLY MASTERSON MD
NPI 1962599209
Family Medicine in Fort Leavenworth, KS

Active since October 06, 2006PECOS Enrolled
550 POPE AVE, MUNSON ARMY HEALTH CENTER ATTN:MCXN-COD,MS COTTON, FORT LEAVENWORTH, KS 66027(913) 684-6562(913) 684-6208 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Heatly Masterson Md NPPES

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

LISA HEATLY MASTERSON MD (NPI 1962599209) is an individual family medicine provider in Fort Leavenworth, Kansas, licensed in Kansas (04-30174) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962599209
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA HEATLY MASTERSONCredential: MD
Location Address550 POPE AVE, MUNSON ARMY HEALTH CENTER ATTN:MCXN-COD,MS COTTONFort Leavenworth, KS 66027-2332
Mailing Address550 Pope Ave, Munson Army Health Center Attn:mcxn-cod,ms CottonFort Leavenworth, KS 66027-2332 · (913) 684-6562 · Fax (913) 684-6208
Phone(913) 684-6562
Fax(913) 684-6208
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962599209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 04-30174
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

550 POPE AVE, Fort Leavenworth, KS 66027
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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 Heatly Masterson Md 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 66027 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

MR. JERRY LEE GREEN JR. FNP
Nurse Practitioner (Family)
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON)
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6562
PAUL MICHAEL WILDE PA-C, SC.D.
Physician Assistant (Medical)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6198
JAMES LAWRENCE SALL FNP
Nurse Practitioner (Family)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671
DR. GARY BRETZ WILHELM M.D.
Family Medicine
550 POPE AVE, MUNSON ARMY HEALTH CENTER
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6671
MRS. REBECCA JOLEEN CORNETT REGISTERED NURSE
Registered Nurse (Community Health)
550 POPE AVE
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6535
DR. ROBERT LOUIS PETRONE PH.D., MPH, PA-C
Physician Assistant
550 POPE AVE, GENTRY CLINIC MAHC
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6601
MRS. MARTY J KAISER LPN
Licensed Practical Nurse
550 POPE AVE, MUNSON ARMY HEALTH CENTER
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6338
DR. CATHERINE SILVA MD
Family Medicine
550 POPE AVE, GENTRY CLINIC
FORT LEAVENWORTH, KS 66027
Leavenworth County (913) 684-6667

Frequently Asked Questions

What is Lisa Masterson's NPI number?

The NPI number assigned to this healthcare provider is 1962599209, enumerated as an "individual" on October 06, 2006.

Where is the provider located?

The provider is located at 550 POPE AVE MUNSON ARMY HEALTH CENTER ATTN:MCXN-COD,MS COTTON FORT LEAVENWORTH, KS 66027 and the phone number is (913) 684-6562.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.