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Dr. Lisa Marie Ivanjack , MD

Internal Medicine โ€ข Bothell, WA

Active NPI 1972541878 Individual Practitioner Female Practitioner
Practice location in NPPES

1909 214th St Se Ste 300
Bothell, WA 98021

Call 4254127200 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

1909 214th St Se Ste 300

Bothell, WA 98021

Telephone 4254127200
Organization at the Same NPPES Address or Phone
Maxor National Pharmacy Services Llc Facility NPI 1720301203

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mukilteo, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $1,663 in 2020

The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

Paid by Medicare

About $868 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

30-day fills

121 standardized 30-day fills in 2021

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

$14,341 in 2021

The total cost of these prescriptions in 2021, 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 โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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. Ivanjack 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. Ivanjack 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 Bothell and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Ivanjack are from 2020.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Ivanjack are from 2021.

13 active clinicians are listed under Internal Medicine with a practice address in Bothell, WA (3,081 in Washington).

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

Telehealth indicator in Bothell

38.5% of these 13 clinicians have the CMS telehealth indicator.

61.5% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B ยท Data Year 2020
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 13 $297.67 $110.84

Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D ยท Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 15 630 $235.45 โ€”
Lisinopril Lisinopril 13 450 $90.43 โ€”
Levemir Flextouch Insulin Detemir 13 351 $6,233.50 โ€”
Donepezil Hcl Donepezil Hcl 12 360 $255.00 โ€”
Furosemide Furosemide 12 360 $45.00 โ€”
Metoprolol Succinate Metoprolol Succinate 12 360 $317.92 โ€”
Pantoprazole Sodium Pantoprazole Sodium 12 360 $119.40 โ€”
Eliquis Apixaban 12 360 $6,210.48 โ€”
Matzim La Diltiazem Hcl 12 360 $833.40 โ€”

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA MD00038351

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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: Washington State Department of Health Provider Lookup.
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 - INTERNAL MEDICINE

Medicare Enrollment ID

I20040123000306

Enrollment State Jurisdiction

WA

PECOS Control ID

8820990468

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.

Secondary Practice Locations

4410 106th St Sw

Mukilteo, WA 98275

Phone: 4254936001

Clinicians Sharing This Practice Address or Phone

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

22 listed
Sharanya Chavva

Physical Therapist

NPI 1841754926
Dr. Anita Elangovan , MD

Internal Medicine

NPI 1356316798

Doctor of Medicine (M.D.)

Dr. Ellen Forslund , DPT

Physical Therapist

NPI 1972057966

Doctor of Physical Therapy

Dr. Xing Fu , MD

Anesthesiology - Pain Medicine

NPI 1225172620

Doctor of Medicine (M.D.)

NPI 1649218546

Physician Assistant (Certified)

NPI 1104869429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
๐Ÿ“
Updated Practice Location September 24, 2019

Registered at 1909 214TH ST SE STE 300, BOTHELL, WA 98021 (Tel: 4254127200)

๐Ÿ“
Updated Business Mailing Address September 24, 2019

Registered at 1909 214TH ST SE STE 300, BOTHELL, WA 980214418 (Tel: 4254127200)

โœ…
NPI Profile Active July 11, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 11, 2011

Registered at 4410 106TH ST SW, MUKILTEO, WA 98275 (Tel: 4254936001)

๐Ÿ“
Business Mailing Address (Initial Record) July 11, 2011

Registered at 3812 185TH ST SE, BOTHELL, WA 980128841 (Tel: 4259223292)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 11, 2011

Recorded as LISA IVANJACK, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2011

Internal Medicine (license number reported to NPPES: WA MD00038351)

๐ŸŸข
Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972541878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: September 24, 2019
Sole Proprietor: No

Other Internal Medicine Providers in Bothell

All Internal Medicine Providers in Bothell

Mailing Address

1909 214th St Se Ste 300

Bothell, WA 980214418

Phone: 4254127200

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.