Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245658657 Individual Practitioner Female Practitioner

Lisa Jane Ealy Cavanaugh

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Cavanaugh is a certified Physician Assistant practicing in Grand Rapids, MI. With approximately 13 years of clinical experience since completing medical education in 2013, Lisa Cavanaugh delivers high-quality medical care to the local community at 100 MICHIGAN ST NE.

Lisa Cavanaugh is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Michigan St Ne
Suite A721

Grand Rapids, MI 495032560

Telephone 6163913139
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1922090554

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.6 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cavanaugh (13 Years) 13 Yrs
Grand Rapids Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
63 49 $219.00 $101.50
99239 Hospital discharge day management, more than 30 minutes
38 36 $231.00 $97.55
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
31 22 $60.00 $25.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
24 16 $155.00 $67.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
19 19 $414.00 $149.07

Medical Specialties & State Licenses

CMS Verified: 2021-02-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006950

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

1840 Wealthy St Se, Grand Rapids, MI 495062921

Phone: 6168855000

Spectrum Health Primary Care Partners

2249 Wealthy St Se, East Grand Rapids, MI 495063055

Phone: 6163914600

Spectrum Health Primary Care Partners

100 Michigan Ave Ne, Grand Rapids, MI 495032560

Spectrum Health Primary Care Partners

100 Michigan St Ne Rm, Grand Rapids, MI 495032560

Phone: 6162670115

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Maureen Pedres , MD

Internal Medicine

NPI 1003015736

Doctor of Medicine (M.D.)

Amber Bolhuis , PA

Physician Assistant

NPI 1003234410

Physician Assistant

Ora Darling , PA

Physician Assistant

NPI 1003346636

Physician Assistant

NPI 1003484213

Doctor of Medicine (M.D.)

NPI 1013399245

Doctor of Medicine (M.D.)

NPI 1013577105

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2016

Registered at 100 MICHIGAN ST NE, SUITE A721, GRAND RAPIDS, MI 495032560 (Tel: 6163913139)

📍
Updated Business Mailing Address November 28, 2016

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated November 28, 2016

Recorded as LISA CAVANAUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Physician Assistant (License #5601006950 in MI)

🟢
Initial NPI Registration & Enumeration April 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245658657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2014
Last Update: February 22, 2021
Sole Proprietor: No

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.