Lisa Brancazio, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

20178 Issued in WV

Practice address

601 Colliers Way
Lab
Weirton, WV 26062-5014

Phone

(304) 797-6332

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

West Virginia University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211

Merit-based Incentive Payment System (MIPS)

Final score

27.82 of 100Reported as individual

Quality

30

Improvement activities

0

Cost

52.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbrancazio642891@direct.wvuhsdirect.com

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.

• Weirton Pathology Associates

  • Anatomic Pathology Physician
  • Weirton, WV
  • NPI 1306874912
  Medicare reassignment NPD Authorized official
• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Burgettstown, PA
  • NPI 1518303288

  WV

  Medicare reassignment Care Compare group NPD
• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Weirton, WV
  • NPI 1104280213
  NPD
• Weirton Medical Center Inc

  • Home Health Agency
  • Weirton, WV
  • NPI 1922009505
  NPD (past)

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

• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Trinity Hospital Holding Company

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356339246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260621488",
            "telephone_number": "304-797-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "address_2": "LAB",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCAZIO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "20178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600217000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Boring
• Christian Bosquet, M.D.
• John M Boyd, RPH PHARMACIST
• Jonathan Boyles
• Stephanie Suzanne Bradley, AUD, CCC-A, F-AAA
• Keith Michael Bravo, MD
• Tiffany Morgan Bright, NP
• Brijinder S Kochhar MD
• Brijinder S. Kochhar, MD, PLLC
• Kelli Elise Brooks, DDS

• Anatomic Pathology & Clinical Pathology Physician in Weirton, WV
• Providers in Weirton, WV by specialty
• Anatomic Pathology & Clinical Pathology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.