Doctor profile · Federal record
Dr. LISA FALOTICO, DO
Family Medicine Physician (CMS: FAMILY PRACTICE) · Sports Medicine (Family Medicine) Physician · FORT WAYNE, IN
- NPI 1528266814
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10515 ILLINOIS RD
FORT WAYNE, IN 468149182
(260) 373-9200
fax (260) 373-9219 - Mailing address
-
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Credentials & registration
- NPI registered
- July 2007 — 19 yrs on file
- Profile last updated
- October 20, 2022
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #02003848A
- Medicaid
- IN #201021560
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528266814. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
386
Distinct HCPCS
10
Medicare allowed
$42,173
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 197 | 89 | $117 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 40 | 34 | $169 | |
83036 |
Hemoglobin a1c level | 31 | 19 | $10 | |
G0008 |
Administration of influenza virus vaccine | 23 | 23 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 17 | 17 | $53 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | 17 | $269 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 17 | 17 | $157 | |
G0009 |
Administration of pneumococcal vaccine | 16 | 16 | $28 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 14 | 12 | $85 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | 14 | $114 |
In context: peer comparison
Among 81 peers in this city , average services per provider: 68. This provider delivers 5.7× the peer median.Open Payments
Industry payments received
All-time total
$1,840
Transactions
110
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 14 | $322.41 | |
| Novo Nordisk Inc | 15 | $240.24 | |
| Bayer Healthcare Pharmaceuticals Inc. | 17 | $209.36 | |
| ABBVIE INC. | 17 | $167.27 | |
| PFIZER INC. | 10 | $160.55 | |
| Lilly USA, LLC | 10 | $146.39 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $113.29 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 4 | $82.86 | |
| Exact Sciences Corporation | 4 | $69.14 | |
| SHIELD THERAPEUTICS INC | 2 | $60.59 | |
| GlaxoSmithKline, LLC. | 3 | $59.04 | |
| Amgen Inc. | 3 | $51.52 | |
| Sumitomo Pharma America, Inc. | 2 | $36.85 | |
| Axsome Therapeutics, Inc. | 1 | $34.21 | |
| Abbott Laboratories | 2 | $31.78 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,099
Patients
328
Total drug cost
$72,778
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 190 | 58 | $1,891 |
| Amlodipine Besylate | Generic | 116 | 34 | $538 |
| Levothyroxine Sodium | Generic | 110 | 34 | $1,360 |
| Lisinopril | Generic | 90 | 28 | $560 |
| Metformin Hcl | Generic | 86 | 27 | $801 |
| Hydrochlorothiazide | Generic | 66 | 20 | $239 |
| Pantoprazole Sodium | Generic | 57 | 19 | $687 |
| Pravastatin Sodium | Generic | 56 | 15 | $852 |
| Sertraline Hcl | Generic | 52 | 16 | $679 |
| Losartan Potassium | Generic | 51 | 17 | $507 |