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Dr. Lisa Nicole Anderson , MD

Surgery β€’ Provo, UT

Active NPI 1992226021 Individual Practitioner Female Practitioner Telehealth (some services)
Practice location in NPPES

1055 N 300 W Ste 101
Provo, UT 846043381

Call 8018523460 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W Ste 101

Provo, UT 846043381

Telephone 8018523460
Fax 8018523459
Organization at the Same NPPES Address or Phone
Utah Weight Loss, Llc Facility NPI 1720447766

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

2017

30-day fills

19 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$26 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $100.46 across 5 records.

By nature of payment

  • Food and Beverage: $100.46 across 5 records.

Reporting-company totals (3 largest of 4)

  • Supernus Pharmaceuticals, Inc.: $39.96 across 2 records.
  • Smith+Nephew, Inc.: $31.04 across 1 record.
  • Medtronic, Inc.: $14.82 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Anderson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Anderson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Provo and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Surgery in Utah (2024, 135 clinicians with data). Median for this group: 45. Middle half: 24 to 102.

Too few clinicians listed under Surgery in Provo have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Surgery in Utah (2024, 135 clinicians with data). Median for this group: $211. Middle half: $82 to $987.

Too few clinicians listed under Surgery in Provo have Medicare Part D data for 2024 to compare.

18 active clinicians are listed under Surgery with a practice address in Provo, UT (260 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

5.6% of these 18 clinicians have the CMS telehealth indicator.

38.9% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $100.46.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $31.04
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $20.35
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $19.61
Medtronic, Inc.
Food and Beverage
In-kind items and services
PLASMABLADE(TM) General $14.82
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA QLEX General $14.64

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tramadol Hcl Tramadol Hcl 19 92 $26.01 19

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES UT 14242949-1205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

License # reported to NPPES OH 35.149055

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES TX 664589

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

License # reported to NPPES TX V2686

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20260305003614

Enrollment State Jurisdiction

UT

PECOS Control ID

4789955444

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Cindy Evans , APRN

Nurse Practitioner - Family

NPI 1841470879

Advanced Practice Registered Nurse

NPI 1679727432

Doctor of Medicine (M.D.)

S Olsen , FNP-C

Nurse Practitioner

NPI 1689283699

Family Nurse Practitioner (Certified)

NPI 1528008588

Doctor of Medicine (M.D.)

NPI 1417906181

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location July 27, 2026

Registered at 1055 N 300 W STE 101, PROVO, UT 846043381 (Tel: 8018523460)

πŸ“
Updated Business Mailing Address July 27, 2026

Registered at 3550 N UNIVERSITY AVE STE 250, PROVO, UT 846046695 (Tel: 8013749625)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Surgery (license number reported to NPPES: UT 14242949-1205)

πŸ“
Updated Practice Location February 19, 2025

Registered at 7777 FOREST LN STE C614, DALLAS, TX 752306856 (Tel: 9725667499)

πŸ“
Updated Business Mailing Address February 19, 2025

Registered at 7777 FOREST LN STE C614, DALLAS, TX 752306856 (Tel: 9725667499)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2025

Surgery (license number reported to NPPES: OH 35.149055)

πŸ“
Updated Practice Location August 07, 2023

Registered at 1145 OLENTANGY RIVER RD FL 3, COLUMBUS, OH 432123117 (Tel: 6142934040)

πŸ“
Updated Business Mailing Address August 07, 2023

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142934040)

βœ…
NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 28, 2017

Registered at 3601 4TH ST STOP 8312, LUBBOCK, TX 794308312 (Tel: (806) 743-3720)

πŸ“
Business Mailing Address (Initial Record) June 28, 2017

Registered at 3601 4TH ST STOP 8312, LUBBOCK, TX 794308312 (Tel: 8067433720)

πŸ‘€
Provider Name / Credentials (Initial Record) June 28, 2017

Recorded as LISA ANDERSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: TX 664589)

🟒
Initial NPI Registration & Enumeration June 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992226021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2017
Last Update: July 27, 2026
Sole Proprietor: No

Other Surgery Specialists in Provo

All Surgery Specialists in Provo

Mailing Address

3550 N University Ave Ste 250

Provo, UT 846046695

Phone: 8013749625

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.