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Lisa R. Bardack, MD

NPI 1669421053ActiveIndividual· Internal Medicine· Mount Kisco, NY

Opted out of Medicare from March 2024 to March 2028. Internal Medicine (MD) in Mount Kisco, New York, licensed in NY, with an NPI issued in May 2006. Part D covered 98 prescriptions written in 2024, 91% of them generic.

Overview

NPI1669421053
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 10, 2006
Last updated in NPPESNov 11, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X187980NY

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)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Mar 18, 2024 – Mar 18, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)98 · 184 30-day fills
Patients30
Total drug cost$4,277
Generic share91% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Internal Medicine providers in Mount Kisco

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