Deactivated NPI 1962407684 Deactivated / Inactive NPI Female Practitioner

Lisa T Durden , PA-C

Physician Assistant • Carson City, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Durden has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005

NPI Deactivation Date February 04, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Durden, PA-C was a registered Physician Assistant practicing in Carson City, NV. Throughout an active medical career spanning 17 years, Lisa Durden provided care at the practice location at 704 W NYE LN until profile deactivation on 2022-02-04.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

704 W Nye Ln
Ste 203

Carson City, NV 897031572

Telephone 7758828777

Fax 7758888062

Associated Practice Facility / Clinic

🏢 Skin Cancer And Dermatology Institute Facility NPI 1003905001

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carson City, NV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

31 Specialists

Practicing in Carson City, NV (1097 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,549	251	$14.81	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	446	355	$153.22	$65.33
17000 Destruction of skin growth	427	349	$159.02	$45.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	241	$225.32	$94.98
11102 Tangential biopsy of single skin lesion	253	219	$207.76	$83.44
17110 Destruction of up to 14 skin growths	133	119	$235.27	$97.14
17004 Destruction of precancer skin growth, 15 or more growths	110	79	$350.39	$137.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$226.63	$93.38
11103 Biopsy of related skin growth, each additional growth	63	48	$112.06	$46.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$91.73	$39.74
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$157.19	$64.92
69100 Biopsy of ear	21	20	$213.42	$63.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,878	294	$14.54	$4.86
17000 Destruction of skin growth	480	373	$156.02	$44.19
99213 Established patient office or other outpatient visit, typically 15 minutes	380	313	$150.36	$64.02
11102 Tangential biopsy of single skin lesion	362	311	$203.84	$81.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	253	$221.02	$93.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$222.36	$92.51
11103 Biopsy of related skin growth, each additional growth	155	96	$109.89	$46.43
17004 Destruction of precancer skin growth, 15 or more growths	146	103	$343.70	$132.29
17110 Destruction of up to 14 skin growths	127	116	$230.96	$95.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	102	$90.00	$39.01
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$154.10	$66.00
69100 Biopsy of ear	20	17	$209.82	$66.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,549	620	$14.54	$4.51
99213 Established patient office or other outpatient visit, typically 15 minutes	1,464	1,011	$150.36	$62.55
17000 Destruction of skin growth	1,103	783	$156.02	$47.91
11100 Biopsy of single growth of skin and/or tissue	718	547	$215.02	$88.86
17004 Destruction of precancer skin growth, 15 or more growths	529	314	$343.70	$123.65
11101 Biopsy of each additional growth of skin and/or tissue	279	179	$67.76	$28.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	140	$221.02	$90.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	132	$90.00	$36.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$222.36	$92.01
17110 Destruction of up to 14 skin growths	83	81	$230.96	$97.08
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$154.10	$64.53
69100 Biopsy of ear	56	44	$209.82	$63.09
11900 Injection into skin growth, 1-7 growths	19	14	$115.70	$34.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$516.20	$199.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,004	544	$14.73	$4.89
99213 Established patient office or other outpatient visit, typically 15 minutes	988	746	$153.40	$63.01
17000 Destruction of skin growth	928	671	$159.14	$47.14
11100 Biopsy of single growth of skin and/or tissue	663	497	$223.13	$87.32
17004 Destruction of precancer skin growth, 15 or more growths	496	299	$351.72	$129.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	396	328	$96.48	$37.75
11101 Biopsy of each additional growth of skin and/or tissue	303	187	$71.00	$28.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	105	$227.16	$92.71
17110 Destruction of up to 14 skin growths	56	53	$235.08	$95.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$226.90	$92.77
69100 Biopsy of ear	44	39	$212.20	$65.85
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$156.30	$64.69
40490 Biopsy of lip	31	28	$278.87	$103.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$655.46	$264.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$378.29	$152.43
67810 Biopsy of eyelid	12	12	$418.03	$149.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$539.66	$108.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA1015616

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kristen Wahlen

Surgery

NPI 1790244606

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated February 04, 2022

Record deactivated on February 04, 2022

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NPI Profile Active July 23, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2010

Registered at 704 W NYE LN, STE 203, CARSON CITY, NV 897031572 (Tel: 7758828777)

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Updated Business Mailing Address July 23, 2010

Registered at 640 W MOANA LN, STE 2, RENO, NV 895094857 (Tel: 7753232135)

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Provider Name / Credentials Updated July 23, 2010

Recorded as LISA DURDEN, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2010

Physician Assistant (License #PA1015616 in NV)

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Initial NPI Registration & Enumeration June 17, 2005

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: 1962407684

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 17, 2005

Last Update: July 23, 2010

Deactivation Date: February 04, 2022

Update or Correct Profile

Mailing Address

640 W Moana Ln, Ste 2

Reno, NV 895094857

Phone: 7753232135

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.