National Provider Identifier
Kelly Anne Lisciandro, DO
Kelly Anne Lisciandro, DO is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Penfield, NY and a listed phone number of (585) 364-0025.
Source: public NPPES record, last updated October 16, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689674814
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 29, 2005
- Last Updated
- October 16, 2025
Practice Location
- 481 Penbrooke Drive
- Suite 2
- Penfield, NY 14526
Phone: (585) 364-0025
Mailing Address
- 481 Penbrooke Drive Ste
- Suite 2
- Penfield, NY 14526
Specialties
- Internal Medicine Physician (207R00000X)
- Internal Medicine Physician (207R00000X)
Browse Similar Providers
See more Internal Medicine providers in Penfield, NY.
Medicare Part B Activity
Reported 121 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Internal Medicine providers in the Rochester, NY metro area.
This provider is in the 21st percentile for Medicare service volume.
Lower volume than many peers.
Performs 52% fewer Medicare services than the peer median.
Higher than 181 of 854 peers.
- Activity Percentile
- 21.2%
- Rank by Services
- 673 of 854
- Total Services
- 121
- Est. Allowed Value
- $10,295.63
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Internal Medicine classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Internal Medicine across the Rochester, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 7,346 total Medicare services.
Top Clinical Services
- 99214: Established patient office or other outpatient visit, 30-39 minutes
85 services | $8,034.39
- 99213: Established patient office or other outpatient visit, 20-29 minutes
36 services | $2,261.24
Full Record
- NPI
- 1689674814
- Entity Type
- Individual
- Last Name
- Lisciandro
- First Name
- Kelly
- Middle Name
- Anne
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 481 Penbrooke Drive Ste
- Mailing Address Line 2
- Suite 2
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526
- Mailing Country
- US
- Mailing Phone
- (585) 364-0025
- Mailing Fax
- (585) 364-0024
- Practice Street Address
- 481 Penbrooke Drive
- Practice Address Line 2
- Suite 2
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526
- Practice Country
- US
- Practice Phone
- (585) 364-0025
- Practice Fax
- (585) 364-0024
- Enumeration Date
- July 29, 2005
- Last Updated
- October 16, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 115965BJ (NY, Preferred Care), 7441491 (NY, Aetna), 02423485 (NY), P010228369 (NY, Blue Choice)