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LISA A CLOUGH M.D.
NPI 1780787697
Internal Medicine - Infectious Disease in Kansas City, KS

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160(913) 588-6035(913) 945-6916 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa A Clough M.d. NPPES

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

LISA A CLOUGH M.D. (NPI 1780787697) is an individual infectious disease provider in Kansas City, Kansas, licensed in Kansas (04-25575) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1991).

NPPES Registry Identity

NPI1780787697
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameLISA A CLOUGHCredential: M.D.
Location Address3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028Kansas City, KS 66160
Mailing Address3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028Kansas City, KS 66160 · (913) 588-6035 · Fax (913) 945-6916
Phone(913) 588-6035
Fax(913) 945-6916
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1991
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 8, 2014
✔ NPI 1780787697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KS · 04-25575
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3901 RAINBOW BOULEVARD, Kansas City, KS 66160
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa A Mcnichols M.d.

Other Identifiers 7

Medicaid207287400MO
Medicare UPING75978
Medicare ID-Type UnspecifiedP00204999KS · Railroad Medicare
Other926001KS · Firstguard
Medicare ID-Type Unspecified011D721AKS
Other35034016MO · Bcbs Kc
Medicaid200309880AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and more.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 A Clough M.d. 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 ID6709832603
PECOS Enrollment IDI20100914001089
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
177 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
174 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services43 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.
42 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services23 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170191
Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

STEPHEN C WALLER M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
DANA J HAWKINSON M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAILSTOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
DR. ALBERT J EID M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
UNIVERSITY OF KANSAS MEDICAL CENTER
General Acute Care Hospital
3901 RAINBOW BOULEVARD, MAIL STOP 3002
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6074
DR. LINDSEY DANIELLE JENKINS PH.D.
Psychologist (Rehabilitation)
3901 RAINBOW BOULEVARD
KANSAS CITY, KS 66160
Wyandotte County (316) 706-9374
JAQUELINE YANG
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BOULEVARD
OLATHE, KS 66160
Wyandotte County (913) 588-5000
JOHN M MILES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3901 RAINBOW BOULEVARD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6022
DANIEL R HINTHORN M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035

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 Clough's NPI number?

The NPI number for Lisa Clough is 1780787697. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Lisa A Mcnichols M.D..

Where is Lisa Clough located?

Lisa Clough practices at 3901 Rainbow Boulevard 6067 Delp, Mail Stop 1028, Kansas City, KS 66160. The listed phone number is (913) 588-6035.

What is Lisa Clough's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Lisa Clough enrolled in Medicare?

Yes. Lisa Clough 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 Clough accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Lisa Clough 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 Clough affiliated with any hospitals?

According to CMS data, Lisa Clough is affiliated with University Of Kansas Hospital, Olathe Medical Center and University Of Ks Hlth System Great Bend Campus.

When was this NPI record last updated?

The NPPES record for Lisa Clough was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.