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LIVIA DE SOUZA LISBOA MS, PA-C
NPI 1164949350
Physician Assistant in Downers Grove, IL

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment
2650 WARRENVILLE RD STE 280, DOWNERS GROVE, IL 60515(630) 324-7900 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Jan 20, 2023, Mar 31, 2020 and 2 more (5 updates tracked since 2017).

About Livia De Souza Lisboa Ms, Pa-c NPPES

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

LIVIA DE SOUZA LISBOA MS, PA-C (NPI 1164949350) is an individual physician assistant in Downers Grove, Illinois, licensed in Illinois (085006328) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164949350
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLIVIA DE SOUZA LISBOACredential: MS, PA-C
Location Address2650 WARRENVILLE RD STE 280Downers Grove, IL 60515-2075
Mailing Address2650 Warrenville Rd Ste 280Downers Grove, IL 60515-2075 · (630) 324-7900
Phone(630) 324-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2017
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1164949350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085006328
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2650 WARRENVILLE RD STE 280, Downers Grove, IL 60515
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Secondary Practice Locations 2

Location 1Cardiac Surgery Associates at Presence Mercy, 1325 N HighlandAurora, IL 60506-1449 · Phone (630) 801-5700
Location 23900 St Francis Way Ste 200Lafayette, IN 47905-4940 · Phone (776) 775-2800

Other Identifiers 2

Other1144532IL · Nccpa
Other085006328IL · Illinois Department Of Financial And Professional Regulation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Livia De Souza Lisboa Ms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355697384
PECOS Enrollment IDI20180705002970
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
29 services29 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services11 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%28 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
4%28 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
4%28 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. BRADFORD BLAKEMAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 60515
Dupage County (630) 324-7900
MARIAM HUSSAIN
Physician Assistant (Surgical)
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 60515
Dupage County (630) 324-7920
MR. MAREK MAJEWSKI PA-C
Physician Assistant
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 60515
Dupage County (630) 324-7900

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 Livia Lisboa's NPI number?

The NPI number for Livia Lisboa is 1164949350. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Livia Lisboa located?

Livia Lisboa practices at 2650 Warrenville Rd Ste 280, Downers Grove, IL 60515. The listed phone number is (630) 324-7900.

What is Livia Lisboa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Livia Lisboa enrolled in Medicare?

Yes. Livia Lisboa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Livia Lisboa accept?

Health plans from CareSource and Network Health list Livia Lisboa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Livia Lisboa affiliated with any hospitals?

According to CMS data, Livia Lisboa is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Livia Lisboa was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.