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DR. LISA A LAVALLEE MD
NPI 1275597965
Family Medicine in Asheville, NC

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 257-4730(828) 257-4738 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa A Lavallee Md NPPES

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

DR. LISA A LAVALLEE MD (NPI 1275597965) is an individual family medicine provider in Asheville, North Carolina, licensed in North Carolina (200100081) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Emory University School Of Medicine (1992).

NPPES Registry Identity

NPI1275597965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA A LAVALLEECredential: MD
Location Address123 HENDERSONVILLE RDAsheville, NC 28803
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868 · (828) 257-4730 · Fax (828) 257-4738
Phone(828) 257-4730
Fax(828) 257-4738
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1992
Enumeration DateApril 12, 2006
Last NPPES UpdateMay 31, 2018
✔ NPI 1275597965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200100081
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.
123 HENDERSONVILLE RD, Asheville, NC 28803
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Other Names 1

Former Name (1)Lisa L Ray Md

Other Identifiers 1

Medicaid1275597965NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa A Lavallee 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 ID3476689449
PECOS Enrollment IDI20100329000984
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Lavallee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Area Health Education Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
123 HENDERSONVILLE RD
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 215 clinicians in this Medicare group
NPI 1093879363 (828) 252-4290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers11 claims22 services$6.42 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 20

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

ALEXANDER STEFAN GOGGINS
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3545
ALAN SOL BAUMGARTEN MD
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
JULIE M BASS RANSOM PA-C
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
VALERIE LYN KRALL LCMHC
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ELLIE SEAN HARTYE PA
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3500
GABRIELA DIAZ MCGINN LCMHCA, LCASA
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ANDREA MARIA HODAPP MD
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 407-2415
DR. JESSICA ANN KNAPP DO
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730

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 Lavallee's NPI number?

The NPI number for Lisa Lavallee is 1275597965. It was assigned to this individual provider in the NPPES registry on April 12, 2006. The provider is also known as Lisa L Ray MD.

Where is Lisa Lavallee located?

Lisa Lavallee practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 257-4730.

What is Lisa Lavallee's specialty?

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

Is Lisa Lavallee enrolled in Medicare?

Yes. Lisa Lavallee 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.

Which organization bills Medicare for Lisa Lavallee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lavallee reassigns Medicare benefits to Mountain Area Health Education Center, Inc. (Asheville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Lavallee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Lavallee accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lisa Lavallee 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 Lisa Lavallee affiliated with any hospitals?

According to CMS data, Lisa Lavallee is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Lisa Lavallee was last updated on May 31, 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.