LISA R DAVIDSON MD
NPI 1184603193
Psychiatry & Neurology - Neurology in Mankato, MN

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002(507) 625-1811 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa R Davidson Md NPPES

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

LISA R DAVIDSON MD (NPI 1184603193) is an individual neurology provider in Mankato, Minnesota, licensed in Minnesota (43496) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1993).

NPPES Registry Identity

NPI1184603193
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLISA R DAVIDSONCredential: MD
Location Address1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREETMankato, MN 56002-8674
Mailing AddressPo Box 8674, 1230 E Main St Mankato Clinic LtdMankato, MN 56002-8674 · (507) 625-1811
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1993
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
NPI 1184603193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MN · 43496
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1230 E MAIN STREET, Mankato, MN 56002

Other Identifiers 10

Other130024186Rr Medicare
Other0947127IA · Medicaid
OtherHP32997MN · Health Partners
Other1328361MN · Americas Ppo
Other45D61DAMN · Bcbs
OtherNA2951027572MN · Preferred One
Medicaid071645600MN
Other0500173MN · Medica
Other151694MN · Ucare
Other410849339 56001 C181Champus

Accepted 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

Lisa R Davidson Md 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 ID4587615430
PECOS Enrollment IDI20050208000648
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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
50,700 services53 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
128 services68 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
102 services33 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
75 services69 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
72 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56002 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers74 claims74 services$37.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers70 claims70 services$94.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers77 claims147 services$32.81 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers27 claims100 services$18.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims54 services$16.80 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers46 claims46 services$64.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
1230 E MAIN STREET, MANKATO CLINIC
MANKATO, MN 56002
Obstetrics & Gynecology
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Physician Assistant
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Pediatrics
1230 E MAIN STREET, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Radiology (Diagnostic Radiology)
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Pediatrics
1230 E MAIN STREET, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Internal Medicine
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Obstetrics & Gynecology
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002

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 Davidson's NPI number?

The NPI number for Lisa Davidson is 1184603193. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Lisa Davidson located?

Lisa Davidson practices at 1230 E Main Street Mankato Clinic At Main Street, Mankato, MN 56002. The listed phone number is (507) 625-1811.

What is Lisa Davidson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lisa Davidson enrolled in Medicare?

Yes. Lisa Davidson 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 Lisa Davidson accept?

Health plans from Medica and Sanford Health Plan list Lisa Davidson 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 Davidson was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.