LISSANDE MERCEDES LAVERTY PA-C
NPI 1285142125
Physician Assistant in Vista, CA

Active since January 12, 2018PECOS EnrolledAccepts Medicare Assignment
2375 S MELROSE DR, VISTA, CA 92081(760) 822-9192 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2023, Oct 19, 2022, Jun 16, 2020 and 1 more (4 updates tracked since 2018).

About Lissande Mercedes Laverty Pa-c NPPES

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

LISSANDE MERCEDES LAVERTY PA-C (NPI 1285142125) is an individual physician assistant in Vista, California and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1285142125
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISSANDE MERCEDES LAVERTYCredential: PA-C
Location Address2375 S MELROSE DRVista, CA 92081-8788
Mailing Address2375 S Melrose DrVista, CA 92081-8788 · (760) 305-1900
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021
Enumeration DateJanuary 12, 2018
Last NPPES UpdateJanuary 9, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1285142125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

Also ListedBehavior TechnicianTaxonomy 106S00000X
2375 S MELROSE DR, Vista, CA 92081

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

Lissande Mercedes Laverty 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 ID1254700032
PECOS Enrollment IDI20221219000730
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92081 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

Internal Medicine
2375 S MELROSE DR
VISTA, CA 92081
Pediatrics
2375 S MELROSE DR
VISTA, CA 92081
Internal Medicine
2375 S MELROSE DR
VISTA, CA 92081
Physician Assistant
2375 S MELROSE DR
VISTA, CA 92081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285142125, enumerated as an "individual" on January 12, 2018.

The provider is located at 2375 S MELROSE DR VISTA, CA 92081 and the phone number is (760) 822-9192.

Physician Assistant with taxonomy code 363A00000X.