Lisa Deette Staber, MD
NPI 1629035308ActiveIndividual· Family Medicine· Grand Rapids, MN
Family Medicine (MD) in Grand Rapids, Minnesota, trained at Sanford School of Medicine of University of South Dakota (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $5,905 for 144 claims, against $2,658 paid for services in 2024.
Overview
| NPI | 1629035308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | May 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 38922 | MN |
| Family Medicine | 207Q00000X | 4301086765 | MI |
| Family Medicine | 207Q00000X | 38751-020 | WI |
| Family Medicine | 207Q00000X | 38751-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN); Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 49 across 4 procedure codes |
| Paid by Medicare | $2,658 |
Part D prescriptions in 2024
| Prescriptions (claims) | 144 · 144 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $5,905 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Sanford School of Medicine of University of South Dakota |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Family Practice |
Medical groups
- Avera Granite FallsGranite Falls, MN · 16 clinicians
- Avera TylerLake Benton, MN · 15 clinicians
Hospital affiliations
- Avera Granite FallsGranite Falls, MN
- Avera Marshall Regional Medical CtrMarshall, MN
- Avera Tyler HospitalTyler, MN
Other facilities
- Avera Sunrise ManorNursing home · Tyler, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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