DANIEL P LAVERY (M.D.) – Family Medicine Physician, NPI 1083719975

DANIEL P LAVERY (M.D.) is a healthcare provider. based in Jefferson city, Missouri. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. R9J28 (MO). The NPI Number for DANIEL P LAVERY (M.D.) is 1083719975

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL P LAVERY (M.D.)
NPI
1083719975
Phone
(573) 659-7300
Address
1616 SOUTHRIDGE DR
Enumeration Date
14 September 2006
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5736350916
Graduation Year
1988 (38 years ago)
PAC ID
9638114994
Group Practice PAC ID
4688573686
Professional Enrollment ID
I20050629000065
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DANIEL P LAVERY (M.D.)

  • 1616, Southridge Drive, Jefferson City, Cole County, Missouri, 65109, United States

    SUITE #302

    JEFFERSON CITY, MO 651095677

    Phone: (573) 659-7300

    Fax: (573) 636-0555

    Type: Mailing

  • 710 SYCAMORE VALLEY DR

    JEFFERSON CITY, MO 651093133

    Phone: (573) 616-8832

    Fax: (573) 635-2237

    Type: Mailing

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: 2021-09-20

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65109)

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Provider's Procedures

DANIEL P LAVERY (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO85610Blood test, clotting time9311
FAMILY MEDICINEMO90670Pneumococcal vaccine for injection into muscle5656

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: 4688573686View full group profile
NameSpecialtyState
TODD D MCCLUSKEY (DO)
-MO
CRAIG ALAN LUETKEMEYER (M.D.)
Family PracticeMO
LORRIE L CAMPBELL (DO)
Family PracticeMO
DR. KEVIN ANDREW LEASE (MD)
Internal MedicineMO
DUSTIN WARBRITTON (D.O.)
Family PracticeMO
DR. DAVID GEORGE LANCASTER (D.O.)
-MO
EDWIN DEAN BRESHEARS (M.D.)
-MO
GRACIA LOUIS NABHANE (M.D.)
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists), Internal MedicineMO
DR. HALEY BRANTLEY (AUD)
-MO
DEVIN LANGENDOERFER (LCSW)
-MO

Reviews

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Frequently asked questions

Where can patients find DANIEL P LAVERY (M.D.)'s NPI?
You can confirm DANIEL P LAVERY (M.D.) with NPI 1083719975; it appears in the national provider directory.
Does this profile mean DANIEL P LAVERY (M.D.) is currently active?
Yes — DANIEL P LAVERY (M.D.) appears active in the national provider directory.
Can you summarize DANIEL P LAVERY (M.D.)'s specialty in plain language?
Clinically, the directory lists DANIEL P LAVERY (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DANIEL P LAVERY (M.D.)?
We surface Jefferson City, Missouri for DANIEL P LAVERY (M.D.) based on available NPPES addresses.
What if Jefferson City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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