Individual provider Active NPI

Lisa S Thompson, M.D.

  • Ophthalmology Physician
  • Gurnee, IL
National Provider Identifier
1699714790
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036109168 Issued in IL
Practice address
48 S Greenleaf St
Gurnee, IL 60031-3300
Phone
(847) 662-4016
Fax
(847) 662-6982
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036109168 IL Primary

Addresses

Primary practice location

48 S Greenleaf St
Gurnee, IL 60031-3300

Mailing address

48 S Greenleaf St
Gurnee, IL 60031-3300
Phone (847) 662-4016

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lthompson3@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20060417000516 IL Practitioner - Ophthalmology 2062421241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Services, LTDGroup PAC ID 2567465511, 3 clinicians
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

48 S Greenleaf Ave
Gurnee, IL 60031-3300

48 S Greenleaf St
Gurnee, IL 60031-3300
Phone (847) 662-4016

500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000

Hospital & facility affiliations

  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Merit-based Incentive Payment System (MIPS)

Final score
70.94 of 100Reported as group
Quality
94.84
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 1, 2010 Accepting new patients
Cook County Current Accepting new patients
Medical Eye Services, LTD Ophthalmology CurrentSince Jun 19, 2006 Accepting new patients
Illinois College of Optometry CurrentSince May 1, 2019 Accepting new patients
Cook County CurrentSince Nov 1, 2010 Accepting new patients

Locations

1900 W Polk St
Rm G16
Chicago, IL 60612

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

1900 W Polk St
Ste 1200
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

48 S Greenleaf St
Gurnee, IL 60031
Phone (847) 662-4016

900 N Westmoreland Rd
Ste 107
Lake Forest, IL 60045
Phone (847) 234-4100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.thompson.1@3569.direct.athenahealth.com
  • Direct secure messaging: lisa.thompson.iei@direct.ico.nextgenshare.com
  • Direct secure messaging: lthompson3@direct.ccprovider.org

Organizations & group practices 5

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1699714790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-662-4016",
            "fax_number": "847-662-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-662-4016",
            "fax_number": "847-662-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LISA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036109168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lthompson3@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.