Doctor profile · Federal record

Dr. Adam Lysak, DDS

Student in an Organized Health Care Education/Training Program · Port Washington, WI

  • NPI 1629569553
  • 8 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
457 W Grand Ave
Port Washington, WI 530742143
(262) 284-9011

Credentials & registration

NPPES · NUCC
NPI registered
May 2018 — 8 yrs on file
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629569553. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$61
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Colgate Oral Pharmaceuticals, INC. 2 $61.19

By nature of payment

Education
$61

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
11
Patients
0
Total drug cost
$30
Drug Type Claims Patients Total cost
Amoxicillin Generic 11 0 $30

Frequently asked questions

Auto-generated from federal data
What is Dr. Adam Lysak's medical specialty?
Dr. Adam Lysak practices Student in an Organized Health Care Education/Training Program in Port Washington, WI.
Where does Dr. Adam Lysak practice?
Dr. Adam Lysak practices at 457 W Grand Ave, Port Washington, WI 530742143. Office phone: 2622849011.
What is Dr. Adam Lysak's NPI?
Dr. Adam Lysak's National Provider Identifier (NPI) is 1629569553, issued by NPPES.