LISA LEGVOLD (PA-C) – Physician Assistant, NPI 1518357102
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for LISA LEGVOLD (PA-C)
710 DIVISION ST S
NORTHFIELD, MN 550572484
Phone: (507) 645-2212
Type: Mailing
820 SPRINGER DR
LOMBARD, IL 601486413
Phone: (815) 744-8554
Type: Mailing
4725 36TH AVE N
CRYSTAL, MN 554222169
Phone: (218) 208-2058
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $158.
Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: UCB, Inc. ($26).
Total Amount
$158
General + Research + Ownership
Payments
8
Total payment records
General Amount
$158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $26 |
| Biofrontera Inc. | $26 |
| Amgen Inc. | $24 |
| Incyte Corporation | $20 |
| LEO Pharma Inc. | $17 |
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: 2015-04-02
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 |
|---|---|---|---|---|
| I20150402000510 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 93 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 61 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 62 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 45 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 59 | 43 | $0 |
Insurance plans in this area (ZIP 55057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Dermatology, Internal Medicine | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
Reviews
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