NPI Lens

Lisa D. Raderstorf, PA-C

NPI 1245421031ActiveIndividual· Physician Assistant· Granger, IN

Physician Assistant (PA-C) with The South Bend Clinic LLC, practicing in Granger, Indiana. 89 Medicare patients in 2024, $6,957 paid; nearly all of their 322 Part D prescriptions were generic (93%).

Overview

NPI1245421031
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 6, 2007
Last updated in NPPESJul 14, 2025
Certified by providerJul 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5601006281MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients89
Services billed235 across 17 procedure codes
Paid by Medicare$6,957

Part D prescriptions in 2024

Prescriptions (claims)322 · 324 30-day fills
Patients202
Total drug cost$3,975
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2006
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Granger

All Physician Assistant providers in Indiana →