LISA MICHELE MCTAVISH MD
NPI 1982673687
Family Medicine in Lafayette, IN

Q: What is Lisa Mctavish's NPI number?

The NPI number for Lisa Mctavish is 1982673687. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Lisa Mctavish's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mctavish was last updated on July 22, 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 March 15, 2006PECOS EnrolledAccepts Medicare Assignment

1500 SALEM ST, LAFAYETTE, IN 47904(765) 448-8000(765) 379-3312 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jan 27, 2021 (2 updates tracked since 2021).

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About Lisa Michele Mctavish Md NPPES

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

LISA MICHELE MCTAVISH MD (NPI 1982673687) is an individual family medicine provider in Lafayette, Indiana, licensed in Indiana (01044255A) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1982673687

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA MICHELE MCTAVISHCredential: MD

Location Address1500 SALEM STLafayette, IN 47904-2164

Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621

Phone(765) 448-8000

Fax(765) 379-3312

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMarch 15, 2006

Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1982673687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01044255A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDermatologyTaxonomy 207N00000X · License 01044255A (IN)

Also ListedEmergency MedicineTaxonomy 207P00000X · License 01044255A (IN)

1500 SALEM ST, Lafayette, IN 47904

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Secondary Practice Location 1

Location 12708 Ferry StLafayette, IN 47904-3021 · Phone (765) 449-1555 · Fax (765) 449-1110

Other Identifiers 6

Medicaid200083620IN

Other9007117IN · Phcs Pid Number

Other000000197894IN · Anthem Provider Number - Family Medicine

Other10825581IN · Caqh Number

Other000000990880IN · Anthem Provider Number - Dermatology

Other000000877221IN · Anthem Provider Number - Urgent Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Michele Mctavish 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 ID5991754954

PECOS Enrollment IDI20050117000264

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.

Hospital Affiliations CMS Care Compare

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

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.

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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.

GARY P DILLON MD

Dermatology (Dermatopathology)