LISA MONDO DAVIS NP-C
NPI 1770128613
Nurse Practitioner - Adult Health in West Columbia, SC

Q: What is Lisa Davis's NPI number?

The NPI number for Lisa Davis is 1770128613. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Q: What is Lisa Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Davis was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 14, 2019PECOS EnrolledAccepts Medicare Assignment

83.03/100

CMS Quality Rating

2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169(803) 744-4940(803) 744-4938 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2024, Oct 27, 2020, Sep 28, 2020 and 3 more (6 updates tracked since 2019).

On this page

About Lisa Mondo Davis Np-c NPPES

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

LISA MONDO DAVIS NP-C (NPI 1770128613) is an individual adult health provider in West Columbia, South Carolina, licensed in South Carolina (23416) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1770128613

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA MONDO DAVISCredential: NP-C

Location Address2728 SUNSET BLVD STE 400West Columbia, SC 29169-4872

Mailing AddressPo Box 6069West Columbia, SC 29171-6069

Phone(803) 744-4940

Fax(803) 744-4938

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019

Enumeration DateNovember 14, 2019

Last NPPES UpdateJuly 17, 20246 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1770128613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 23416

2728 SUNSET BLVD STE 400, West Columbia, SC 29169

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Secondary Practice Location 1

Location 190 Summit Centre DrColumbia, SC 29229-6926 · Phone (803) 744-4940 · Fax (803) 744-4938

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Lisa Mondo Davis Np-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 ID8224463195

PECOS Enrollment IDI20200123000345

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 Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc

Same address

Cardiovascular Disease

2728 SUNSET BLVD STE 300
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1083211312 (803) 744-4940

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

Areas of Expertise CMS Part B claims 2

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.

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.

1,012 services705 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

83.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.45

Promoting Interoperability

Improvement Activities

Cost

72.17

Referred Medical Equipment & Supplies CMS DME claims 3

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims249 services$6.90 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims750 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims1,112 services$0.37 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.

IAN MICHAEL BRASTAUSKAS

Surgery (Vascular Surgery)