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DR. LISA LYA PACHECO DO
NPI 1174661011
Neuromusculoskeletal Medicine & OMM in Missoula, MT

Active since February 02, 2007Opted out of Medicare · through Mar 27, 2027
805 S RESERVE ST, MISSOULA, MT 59801(406) 549-6600(406) 549-1511 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Lya Pacheco Do NPPES

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

DR. LISA LYA PACHECO DO (NPI 1174661011) is an individual neuromusculoskeletal medicine & omm provider in Missoula, Montana, licensed in Montana (11801) and active in the NPI registry since February 2007. She has opted out of Medicare through March 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174661011
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. LISA LYA PACHECOCredential: DO
Location Address805 S RESERVE STMissoula, MT 59801
Mailing Address805 S Reserve StMissoula, MT 59801-2104 · (406) 549-6600 · Fax (406) 549-1511
Phone(406) 549-6600
Fax(406) 549-1511
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 15, 2018
✔ NPI 1174661011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Licenses✔ Licensed in MT · 11801✔ Licensed in ME · 1440
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
805 S RESERVE ST, Missoula, MT 59801
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Other Names 1

Former Name (1)Dr. Lisa Lya Logan Do

Other Identifiers 1

Other031093Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Lya Pacheco Do 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 March 27, 2017 through March 27, 2027.

Opt-Out Effective DateMarch 27, 2017
Opt-Out In Effect ThroughMarch 27, 2027Opt-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.

Other Providers at the Same Location NPPES 4

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

SURGICAL SLEEP SOLUTIONS PLLC
Oral & Maxillofacial Surgery
805 S RESERVE ST
MISSOULA, MT 59801
Missoula County (281) 772-1151
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
Clinic/Center
805 S RESERVE ST
MISSOULA, MT 59801
Missoula County (406) 549-6600
DR. RICHARD FREDERICK JOHN HOLTZEN III D.M.D.
Specialist
805 S RESERVE ST
MISSOULA, MT 59801
Missoula County (406) 381-6845
DR. CLARK O TAYLOR M.D.,D.D.S.
Oral & Maxillofacial Surgery
805 S RESERVE ST
MISSOULA, MT 59801
Missoula County (406) 549-6600

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 Pacheco's NPI number?

The NPI number for Lisa Pacheco is 1174661011. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Dr. Lisa Lya Logan Do.

Where is Lisa Pacheco located?

Lisa Pacheco practices at 805 S Reserve St, Missoula, MT 59801. The listed phone number is (406) 549-6600.

What is Lisa Pacheco's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Lisa Pacheco enrolled in Medicare?

No. Lisa Pacheco has opted out of Medicare through March 27, 2027. 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.

What insurance does Lisa Pacheco accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Lisa Pacheco 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.

When was this NPI record last updated?

The NPPES record for Lisa Pacheco was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.