DR. LISA ANN MANSUETO M.D. NPI 1396742797

NPI Information

  • NPI: 1396742797
  • Provider Name: DR. LISA ANN MANSUETO, M.D.
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3200 S COUNTRY CLUB WAY
    TEMPE, AZ
    ZIP 85282
  • Phone: (480) 839-0206

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NPI Details

DR. Lisa Ann Mansueto, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Tempe, AZ with 32 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. DR. Lisa Ann Mansueto, M.D. NPI is 1396742797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

3200 S COUNTRY CLUB WAY
TEMPE, AZ
ZIP 85282-054
Phone: (480) 839-0206
Fax: (480) 831-6735

The NPI 1396742797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of content of eyes (HCPCS:92285)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of probe into nasal tear duct (HCPCS:68810)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of growth of eyelid (HCPCS:67840)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Repair of brow paralysis (HCPCS:67900)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 5/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology23840ARIZONANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery23840ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126854MEDICARE ID-TYPE UNSPECIFIED
2G71995MEDICARE UPIN
3455354MEDICAIDARIZONA
43743063OTHERARIZONACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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