Lisa Holtsclaw, D.O.
NPI 1619957164 · Family Medicine Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Holtsclaw, D.O. is a Family Medicine Physician provider in Fort Wayne, IN (NPI 1619957164).
Provider details
- NPI number
- 1619957164
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 02001568A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
54 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 43 | $50 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 11 | $114 |
Typical Medicare-allowed amounts for these services range $50–$114 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 152 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 576 | 146 |
| Amlodipine Besylate | 304 | 90 |
| Omeprazole | 266 | 68 |
| Lisinopril | 266 | 66 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 260 | 79 |
| Levothyroxine Sodium | 254 | 64 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$154 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2020-06-22
- Certified
- 2020-06-22
Frequently asked questions
- What is Lisa Holtsclaw's NPI number?
- Lisa Holtsclaw's National Provider Identifier (NPI) is 1619957164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Holtsclaw's specialty?
- Lisa Holtsclaw is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Holtsclaw located?
- Lisa Holtsclaw's practice location on file with NPPES is 436 E Washington Blvd, Fort Wayne, IN 46802-3210.
- What is Lisa Holtsclaw's phone number?
- The practice phone number listed in the NPPES registry for Lisa Holtsclaw is (260) 209-7111.
- Does Lisa Holtsclaw accept Medicare?
- Lisa Holtsclaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Holtsclaw's NPI active?
- Yes — Lisa Holtsclaw's NPI (1619957164) is active in the NPPES registry as of the last update on 2020-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.