DR. ANDREA LE ANN LYONS M.D.
NPI 1043458540
Internal Medicine in Lexington, KY

Active since January 22, 2009PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3581 HARRODSBURG RD STE 350, LEXINGTON, KY 40513(859) 313-3400(859) 313-3087 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2019, Aug 7, 2019, Jul 13, 2016 (3 updates tracked since 2016).

About Dr. Andrea Le Ann Lyons M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA LE ANN LYONS M.D. (NPI 1043458540) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (42731) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2006).

NPPES Registry Identity

NPI1043458540
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREA LE ANN LYONSCredential: M.D.
Location Address3581 HARRODSBURG RD STE 350Lexington, KY 40513-1140
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7818 · Fax (606) 330-7825
Fax(859) 313-3087
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006
Enumeration DateJanuary 22, 2009
Last NPPES UpdateNovember 18, 20193 updates tracked since enumeration
NPI 1043458540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 42731
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3581 HARRODSBURG RD STE 350, Lexington, KY 40513

Other Names 1

Former Name (1)Dr. Andrea Le Ann Lovell M.d.

Other Identifiers 1

Medicaid7100087720KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrea Le Ann Lyons M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436204146
PECOS Enrollment IDI20090902000159
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
518 services226 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
111 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$16.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$90.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Family Medicine
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Social Worker (Clinical)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Psychiatry & Neurology (Psychiatry)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Psychiatry & Neurology (Psychiatry)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Internal Medicine
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513
Psychiatry & Neurology (Psychiatry)
3581 HARRODSBURG RD STE 350
LEXINGTON, KY 40513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Lyons's NPI number?

The NPI number for Andrea Lyons is 1043458540. It was assigned to this individual provider in the NPPES registry on January 22, 2009. The provider is also known as Dr. Andrea Le Ann Lovell M.D..

Where is Andrea Lyons located?

Andrea Lyons practices at 3581 Harrodsburg Rd Ste 350, Lexington, KY 40513. The listed phone number is (859) 313-3400.

What is Andrea Lyons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Lyons enrolled in Medicare?

Yes. Andrea Lyons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Lyons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Andrea Lyons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Lyons affiliated with any hospitals?

According to CMS data, Andrea Lyons is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Andrea Lyons was last updated on November 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.