LISA M MCGUIRE MD
NPI 1790802064
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Indianapolis, IN
About Lisa M Mcguire Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA M MCGUIRE MD (NPI 1790802064) is an individual neurology with special qualifications in child neurology provider in Indianapolis, Indiana, licensed in Indiana (01061877A) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 M Mcguire 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 294 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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.
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
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 Mcguire's NPI number?
The NPI number for Lisa Mcguire is 1790802064. It was assigned to this individual provider in the NPPES registry on March 23, 2007.
Where is Lisa Mcguire located?
Lisa Mcguire practices at 8414 Naab Rd, Indianapolis, IN 46260. The listed phone number is (317) 338-1600.
What is Lisa Mcguire's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Lisa Mcguire enrolled in Medicare?
Yes. Lisa Mcguire 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 Mcguire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mcguire reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, IN). 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 Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Mcguire accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and CareSource list Lisa Mcguire 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 Mcguire was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.