LISA R DAVIDSON (MD) – Neurology Physician, NPI 1184603193
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
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Provider Addresses for LISA R DAVIDSON (MD)
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
1230 E MAIN ST MANKATO CLINIC LTD
MANKATO, MN 560028674
Phone: (507) 625-1811
Type: Mailing
Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO CLINIC AT MAIN STREET
MANKATO, MN 560028674
Phone: (507) 625-1811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $14,351.
Total Amount is formed as General ($14,351) + Research ($0) + Ownership ($0) = $14,351.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($13,670).
Total Amount
$14,351
General + Research + Ownership
Payments
47
Total payment records
General Amount
$14,351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $13,670 |
| Sun Pharmaceutical Industries Inc. | $113 |
| MITSUBISHI TANABE PHARMA AMERICA, INC. | $67 |
| Amgen Inc. | $40 |
| ARGENX US, INC. | $40 |
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: 2005-02-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050208000648 | I | Neurology | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 45,200 | 55 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 114 | 55 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 96 | 78 | $0 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 95 | 86 | $0 |
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 81 | 29 | $0 |
Insurance plans in this area (ZIP 56002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | MN | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 14 | 12 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN |
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