DANIEL P LAVERY M.D.
NPI 1083719975
Family Medicine in Jefferson City, MO

Active since September 14, 2006PECOS Enrolled
1616 SOUTHRIDGE DR, SUITE #203, JEFFERSON CITY, MO 65109(573) 659-7300(573) 636-0555 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel P Lavery M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL P LAVERY M.D. (NPI 1083719975) is an individual family medicine provider in Jefferson City, Missouri, licensed in Missouri (R9J28) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083719975
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL P LAVERYCredential: M.D.
Location Address1616 SOUTHRIDGE DR, SUITE #203Jefferson City, MO 65109-5677
Mailing Address710 Sycamore Valley DrJefferson City, MO 65109-3133 · (573) 616-8832 · Fax (573) 635-2237
Fax(573) 636-0555
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1083719975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · R9J28
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1616 SOUTHRIDGE DR, Jefferson City, MO 65109

Other Identifiers 3

Other171243MO · Healthlink
Other185912MO · Blue Cross Blue Shield
Other202387284MO · United Healthcare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel P Lavery M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Family Medicine
1616 SOUTHRIDGE DR, SUITE #203
JEFFERSON CITY, MO 65109
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Clinic/Center
1616 SOUTHRIDGE DR, SUITE 203
JEFFERSON CITY, MO 65109
Registered Nurse (Medical-Surgical)
1616 SOUTHRIDGE DR, STE 202
JEFFERSON CITY, MO 65109
Orthopaedic Surgery
1616 SOUTHRIDGE DR, SUITE 202
JEFFERSON CITY, MO 65109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Lavery's NPI number?

The NPI number for Daniel Lavery is 1083719975. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Daniel Lavery located?

Daniel Lavery practices at 1616 Southridge Dr Suite #203, Jefferson City, MO 65109. The listed phone number is (573) 659-7300.

What is Daniel Lavery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Lavery enrolled in Medicare?

Yes. Daniel Lavery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Lavery was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.