Lisa M Gleason, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Morro Bay, CA
NPI 1235330960 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1235330960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- A108043 (CA)
- Practice address
- 685 Morro Ave Ste C
Morro Bay, CA 93442-2233 - Phone
- (805) 772-7313
- Fax
- (805) 772-0395
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Pittsburgh School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- David B. Hammer
Pacific Central Coast Health Centers
Practice addresses (Care Compare)
1051 Las Tablas Rd
Templeton, CA 93465-5603
685 Morro Ave
Suite C
Morro Bay, CA 93442-2233
Phone (805) 772-7313
Hospital & facility affiliations
- French Hospital Medical Center
- Marian Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160613001413 | CA | Practitioner - Physical Medicine and Rehabilitation | 4688964166 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108043 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HP Contingent | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current |
Accepting new patients | |
| Pacific Central Coast Health Centers | Current |
Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
685 Morro Ave
Ste C
Morro Bay, CA 93442
Phone (805) 772-7313
117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A108043 | CA | Yes |
Addresses
Primary practice location
685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Mailing address
685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Phone (805) 772-7313
Other practice location 1
691 Morro Ave
Morro Bay, CA 93442-2233
Phone (805) 225-5188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB255979 | Other | CA | MEDICARE PTAN |
Other providers in Morro Bay, CA
- Emilia Nicole Friedberg
- FWTW Inc.
- Rowena Ramos Garcia
- Ryan J Garcia
- Jill Diane Garman
- Kris F Glines
- Ofelia Marleny Gomez Caballero
- Sally Cahyadi Gonzaga
- Adrian Grant Goodson
- Leslie Gottesman
All providers in Morro Bay, CA · Physical Medicine & Rehabilitation Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.