LISA M MCGUIRE MD
NPI 1790802064
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Indianapolis, IN

Q: 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.

Q: 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.

Q: 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.

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment

8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-1600 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1790802064

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameLISA M MCGUIRECredential: MD

Location Address8414 NAAB RDIndianapolis, IN 46260-1972

Mailing Address8414 Naab RdIndianapolis, IN 46260-1972

Phone(317) 338-1600

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2002

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 25, 2022

NPPES CertifiedJuly 25, 2022

✔ NPI 1790802064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in IN · 01061877A

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

8414 NAAB RD, Indianapolis, IN 46260

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Other Identifiers 1

Medicaid200860650IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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 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.

PECOS PAC ID9739288028

PECOS Enrollment IDI20070627000552

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

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.

15 services11 patients

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.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Reported Quality Measures

e-Prescribing

99%1,137 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

92%567 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4160

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims4,425 services$0.65 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.

MERCEDES MARIA VALACER DO

Student in an Organized Health Care Education/Training Program