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LISA M LYONS M.D.
NPI 1083682504
Internal Medicine in Las Vegas, NV

Active since March 10, 2006PECOS Enrolled
5230 BOULDER HWY STE 110, LAS VEGAS, NV 89122(802) 940-1560(702) 940-1561 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2025, Mar 8, 2024, Oct 18, 2022 and 1 more (4 updates tracked since 2017).

About Lisa M Lyons M.d. NPPES

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

LISA M LYONS M.D. (NPI 1083682504) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (9476) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083682504
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA M LYONSCredential: M.D.
Location Address5230 BOULDER HWY STE 110Las Vegas, NV 89122-6077
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Phone(802) 940-1560
Fax(702) 940-1561
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1083682504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 9476
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.
5230 BOULDER HWY STE 110, Las Vegas, NV 89122
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Secondary Practice Locations 2

Location 12720 N Tenaya Way Ste 300Las Vegas, NV 89128-0424 · Phone (702) 671-1111
Location 27455 W Azure Dr, Bldg C Ste. 140Las Vegas, NV 89130-4430 · Phone (702) 434-3446 · Fax (702) 233-4005

Other Identifiers 2

Other9476NV · State License
Medicaid002018461NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Lyons M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Lyons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Medical Holdings Nevada Inc
6.2 mi
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group
NPI 1245997279 (702) 566-5500
Family Home Hospice, Inc.
13 mi
Hospice Care, Community Based
2720 N TENAYA WAY STE 300
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
NPI 1093793028 (702) 560-2821
Optum Medical Group II Rhodes P C
13 mi
Internal Medicine
2704 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 608 clinicians in this Medicare group
NPI 1790329407 (702) 877-5199

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89122 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 2

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

ANDREI ANDROSSOV MD
Family Medicine
5230 BOULDER HWY STE 110
LAS VEGAS, NV 89122
Clark County (702) 940-1560
ALTON J WALTERS MD
Internal Medicine
5230 BOULDER HWY STE 110
LAS VEGAS, NV 89122
Clark County (702) 940-1560

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 Lisa Lyons's NPI number?

The NPI number for Lisa Lyons is 1083682504. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Lisa Lyons located?

Lisa Lyons practices at 5230 Boulder Hwy Ste 110, Las Vegas, NV 89122. The listed phone number is (802) 940-1560.

What is Lisa Lyons's specialty?

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

Is Lisa Lyons enrolled in Medicare?

Yes. Lisa Lyons is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lyons reassigns Medicare benefits to 3 organizations: Intermountain Medical Holdings Nevada Inc (Henderson, NV), Family Home Hospice, Inc. (Las Vegas, NV) and Optum Medical Group II Rhodes P C (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Lyons was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.