Marcy D. Lisota, PAC
NPI 1629051347ActiveIndividual· Physician Assistant· Onalaska, WI
Physician Assistant (PAC) with Mayo Clinic Health System-Southwest Wisconsin Region Inc, practicing in Onalaska, Wisconsin. In 2024 Medicare paid $3,048 for 60 patients, and Part D covered 58 of their prescriptions, 88% of them generic. Lists Mayo Clinic Health System-Franciscan Medical Center Inc as a hospital affiliation.
Overview
| NPI | 1629051347 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Nov 28, 2005 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 971 | WI |
| Physician Assistant | 363A00000X | 9180 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 68 across 8 procedure codes |
| Paid by Medicare | $3,048 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 59 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $751.87 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI · 534 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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