DR. JAMES JOSEPH LYONS M.D.
NPI 1053306183
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Poughkeepsie, NY

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601(845) 473-1188(845) 485-8937 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2018, Oct 20, 2017 (2 updates tracked since 2017).

About Dr. James Joseph Lyons M.d. NPPES

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

DR. JAMES JOSEPH LYONS M.D. (NPI 1053306183) is an individual advanced heart failure and transplant cardiology provider in Poughkeepsie, New York, licensed in New York (260442) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Georgetown University School Of Medicine (1999).

NPPES Registry Identity

NPI1053306183
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. JAMES JOSEPH LYONSCredential: M.D.
Location Address1 COLUMBIA ST, SUITE 200Poughkeepsie, NY 12601
Mailing Address1 Columbia St, Suite 200Poughkeepsie, NY 12601-3923 · (845) 473-1188 · Fax (845) 485-8937
Fax(845) 485-8937
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1999
Enumeration DateSeptember 14, 2005
Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration
NPI 1053306183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in NY · 260442
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 260442 (NY)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 260442 (NY)
1 COLUMBIA ST, Poughkeepsie, NY 12601

Other Identifiers 1

Medicaid03335820NY

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. James Joseph 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 ID5496933905
PECOS Enrollment IDI20110706000188
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 24

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,623 services1,230 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
772 services370 patients
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.
449 services212 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
370 services274 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
288 services281 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.
171 services170 patients

Hospital Affiliations CMS Care Compare 3

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331310
Location10 Healthy WayEllenville, NY 12428 · Ulster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1 COLUMBIA ST, SUITE 300
POUGHKEEPSIE, NY 12601
Internal Medicine (Cardiovascular Disease)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Internal Medicine (Clinical Cardiac Electrophysiology)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Internal Medicine (Clinical Cardiac Electrophysiology)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Internal Medicine (Interventional Cardiology)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Internal Medicine (Cardiovascular Disease)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Internal Medicine (Cardiovascular Disease)
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601
Nurse Practitioner
1 COLUMBIA ST, SUITE 200
POUGHKEEPSIE, NY 12601

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 James Lyons's NPI number?

The NPI number for James Lyons is 1053306183. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is James Lyons located?

James Lyons practices at 1 Columbia St Suite 200, Poughkeepsie, NY 12601. The listed phone number is (845) 473-1188.

What is James Lyons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is James Lyons enrolled in Medicare?

Yes. James 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 James Lyons accept?

Health plans from Blue Cross and Blue Shield of Texas list James 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 James Lyons affiliated with any hospitals?

According to CMS data, James Lyons is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital and Ellenville Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Lyons was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.