DR. LISA L. MCCLURE (PSY.D.) – Clinical Psychologist, NPI 1265460133

DR. LISA L. MCCLURE (PSY.D.) is a healthcare provider. based in Peoria, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071-006198 (IL). The NPI Number for DR. LISA L. MCCLURE (PSY.D.) is 1265460133

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA L. MCCLURE (PSY.D.)
NPI
1265460133
Phone
(309) 683-5006
Address
8600 N STATE ROUTE 91
Enumeration Date
29 June 2006
Last Update Date
4 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096835094
Graduation Year
1998 (28 years ago)
PAC ID
5597717108
Group Practice PAC ID
9032021258
Professional Enrollment ID
I20050211000309
Address ID
IL616159541PE8600X91XX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. LISA L. MCCLURE (PSY.D.)

  • 91, I 74, Peoria, Peoria County, Illinois, 61636, United States

    SUITE 240

    PEORIA, IL 616159541

    Phone: (309) 683-5006

    Fax: (309) 683-5095

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050211000309IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes5212$0
90791Psychiatric diagnostic evaluation3535$0
96130Evaluation of psychological test, first hour3535$0
96136Administration of psychological or neuropsychological test, first 30 minutes3535$0
96131Evaluation of psychological test, each additional hour2828$0
View full utilization report →

Insurance plans in this area (ZIP 61615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032021258View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. LISA L. MCCLURE (PSY.D.)?
For DR. LISA L. MCCLURE (PSY.D.), use NPI 1265460133 as the unique 10-digit identifier.
Is there an active status for DR. LISA L. MCCLURE (PSY.D.)?
For scheduling context, DR. LISA L. MCCLURE (PSY.D.) is shown as active in the registry.
What expertise is attributed to DR. LISA L. MCCLURE (PSY.D.)?
DR. LISA L. MCCLURE (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. LISA L. MCCLURE (PSY.D.) located near Peoria?
DR. LISA L. MCCLURE (PSY.D.) currently maps to Peoria, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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