Individual provider Active NPI

Lisa Burson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lapeer, MI
National Provider Identifier
1336554534
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002521 Issued in MI
Practice address
1187 S Lapeer Rd
Lapeer, MI 48446-3081
Phone
(810) 969-4016
Fax
(810) 969-4021
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002521 MI Primary

Addresses

Primary practice location

1187 S Lapeer Rd
Lapeer, MI 48446-3081

Mailing address

1187 S Lapeer Rd
Lapeer, MI 48446-3081
Phone (810) 969-4016

Other practice location 1

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (586) 880-2424

Other practice location 2

3601 Wilder Rd
Bay City, MI 48706-2113
Phone (989) 667-3668

Other practice location 3

150 Millwood St Ste 1
Caro, MI 48723
Phone (989) 673-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522000685 MI Practitioner - Podiatry 5597032623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Clinic of Lapeer PLLCGroup PAC ID 6103156567, 2 clinicians
Youssef Aoun DPM PLLCGroup PAC ID 9638437320, 3 clinicians

Practice addresses (Care Compare)

1187 S Lapeer Rd
Lapeer, MI 48446-3081
Phone (810) 969-4016

150 Millwood St
Caro, MI 48723-1656
Phone (989) 673-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as individual
Quality
66.38
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
28.2 of 100Reported as group
Quality
36.83
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue105
Removal of skin lesions1-10
Removal of nail tissue1310
Removal or shaving of skin growth552
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of Bay City, PLLC Podiatrist CurrentSince May 1, 2021 Accepting new patients
Youssef Aoun DPM PLLC Podiatrist CurrentSince Jul 14, 2019 Accepting new patients
Foot Clinic of Lapeer PLLC Podiatrist CurrentSince Aug 28, 2019 Accepting new patients

Locations

3601 Wilder Rd
Bay City, MI 48706
Phone (989) 667-3668

150 Millwood St
Ste 1
Caro, MI 48723
Phone (989) 673-3338

150 Millwood St
Caro, MI 48723
Phone (989) 673-3338

1187 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 969-4016

Interoperability endpoints

  • Direct secure messaging: lisa.burson.3@24231.direct.athenahealth.com
  • Direct secure messaging: lburson463773@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1336554534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463081",
            "telephone_number": "810-969-4016",
            "fax_number": "810-969-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463081",
            "telephone_number": "810-969-4016",
            "fax_number": "810-969-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21230 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480912279",
            "country_code": "US",
            "telephone_number": "586-880-2424",
            "fax_number": "586-759-0237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Wilder Rd",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062113",
            "country_code": "US",
            "telephone_number": "989-667-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Millwood St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "48723",
            "country_code": "US",
            "telephone_number": "989-673-3338",
            "fax_number": "989-673-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURSON",
        "first_name": "LISA",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.