DR. LISA DEAN DMD
NPI 1972667137
Dentist - General Practice in Russell, KY

Active since December 21, 2006PECOS Enrolled
1592 DIEDERICH BLVD, RUSSELL, KY 41169(606) 836-9962(606) 836-4668 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lisa Dean Dmd NPPES

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

DR. LISA DEAN DMD (NPI 1972667137) is an individual general practice provider in Russell, Kentucky, licensed in Virginia (0401418621) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972667137
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA DEANCredential: DMD
Location Address1592 DIEDERICH BLVDRussell, KY 41169-1676
Mailing Address1592 Diederich BlvdRussell, KY 41169-1676 · (606) 836-9962 · Fax (606) 836-4668
Fax(606) 836-4668
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1972667137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in VA · 0401418621✔ Licensed in KY · 6890
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1592 DIEDERICH BLVD, Russell, KY 41169

Other Names 1

Professional Name (2)Lisa R. Dean Dmd

Other Identifiers 2

Medicaid2436288,9962OH
Medicaid60068905KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Dean Dmd 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Dean reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
120 N 3RD ST
Ironton, OH 45638
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1063729259 (Ohio)
  • 45 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
100 WEST AVE
Gallipolis, OH 45631
  • Reassigned Medicare billing, Ohio enrollment
  • 212 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41169 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

Dentist (General Practice)
1592 DIEDERICH BLVD
RUSSELL, KY 41169

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 Dean's NPI number?

The NPI number for Lisa Dean is 1972667137. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Lisa R. Dean Dmd.

Where is Lisa Dean located?

Lisa Dean practices at 1592 Diederich Blvd, Russell, KY 41169. The listed phone number is (606) 836-9962.

What is Lisa Dean's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Dean enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Dean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Dean reassigns Medicare benefits to 2 organizations: Ironton & Lawrence County Area Community Action Organization (Ironton, OH) and Hopewell Health Centers, Inc. (Gallipolis, OH). 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 Lisa Dean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Dean accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Guardian and 15 other insurers list Lisa Dean 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 Dean was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.