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LISA DAVIDOFF M.D.
NPI 1104115468
Internal Medicine in Deerfield, IL

Active since April 06, 2011Opted out of Medicare · through Aug 2, 2028
707 LAKE COOK RD STE 122, DEERFIELD, IL 60015(224) 296-1520(224) 252-6330 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2022, Apr 6, 2021 (2 updates tracked since 2021).

About Lisa Davidoff M.d. NPPES

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

LISA DAVIDOFF M.D. (NPI 1104115468) is an individual internal medicine provider in Deerfield, Illinois, licensed in Illinois (036.138311) and active in the NPI registry since April 2011. She has opted out of Medicare through August 2, 2028 and remains eligible to order and refer, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104115468
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA DAVIDOFFCredential: M.D.
Location Address707 LAKE COOK RD STE 122Deerfield, IL 60015-4909
Mailing Address707 Lake Cook Rd Ste 122Deerfield, IL 60015-4909 · (224) 296-1520 · Fax (224) 252-6330
Phone(224) 296-1520
Fax(224) 252-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1104115468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.138311
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 036.138311 (IL)
707 LAKE COOK RD STE 122, Deerfield, IL 60015
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Other Names 1

Former Name (1)Lisa Pearl M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Davidoff M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2022 through August 2, 2028.

Opt-Out Effective DateAugust 2, 2022
Opt-Out In Effect ThroughAugust 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60015 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers32 claims70 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers28 claims29 services$0.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lisa Davidoff's NPI number?

The NPI number for Lisa Davidoff is 1104115468. It was assigned to this individual provider in the NPPES registry on April 6, 2011. The provider is also known as Lisa Pearl M.D..

Where is Lisa Davidoff located?

Lisa Davidoff practices at 707 Lake Cook Rd Ste 122, Deerfield, IL 60015. The listed phone number is (224) 296-1520.

What is Lisa Davidoff's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lisa Davidoff enrolled in Medicare?

No. Lisa Davidoff has opted out of Medicare through August 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Lisa Davidoff affiliated with any hospitals?

According to CMS data, Lisa Davidoff is affiliated with Northshore University Healthsystem - Evanston Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Davidoff was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.