Doctor profile · Federal record
Dr. Lisa Holtsclaw, D.O.
Family Medicine Physician (CMS: Family Practice) · Fort Wayne, IN
- NPI 1619957164
- 33 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
436 E Washington Blvd
Fort Wayne, IN 468023210
(260) 209-7111
fax (260) 222-2835 - Mailing address
-
30 W Monroe St Ste 1200
Chicago, IL 606032420
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- June 22, 2020
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #02001568A
- Medicaid
- IN #100373060
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619957164. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
76
Distinct HCPCS
2
Medicare allowed
$5,131
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 55 | 29 | $50 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $114 |
In context: peer comparison
Among 81 peers in this city , average services per provider: 68. This provider delivers 1.1× the peer median.Open Payments
Industry payments received
All-time total
$154
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 1 | $121.84 | |
| Insulet Corporation | 1 | $16.83 | |
| Abbott Laboratories | 1 | $14.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,977
Patients
829
Total drug cost
$37,890
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 500 | 133 | $3,410 |
| Amlodipine Besylate | Generic | 281 | 87 | $894 |
| Levothyroxine Sodium | Generic | 273 | 67 | $3,518 |
| Gabapentin | Generic | 266 | 66 | $4,368 |
| Omeprazole | Generic | 224 | 66 | $2,046 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 223 | 77 | $11,854 |
| Metformin Hcl | Generic | 195 | 48 | $1,075 |
| Lisinopril | Generic | 191 | 51 | $567 |
| Tramadol Hcl | Generic | 143 | 32 | $804 |
| Furosemide | Generic | 139 | 36 | $617 |
Frequently asked questions
What is Dr. Lisa Holtsclaw's medical specialty?
Dr. Lisa Holtsclaw practices Family Medicine Physician in Fort Wayne, IN.
Where does Dr. Lisa Holtsclaw practice?
Dr. Lisa Holtsclaw practices at 436 E Washington Blvd, Fort Wayne, IN 468023210. Office phone: 2602097111.
What is Dr. Lisa Holtsclaw's NPI?
Dr. Lisa Holtsclaw's National Provider Identifier (NPI) is 1619957164, issued by NPPES.
Does Dr. Lisa Holtsclaw accept Medicare assignment?
Dr. Lisa Holtsclaw does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Lisa Holtsclaw commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.