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DR. JAMES JOSEPH LYONS M.D.
NPI 1104096544
Pathology - Dermatopathology in Dothan, AL

Active since February 29, 2008PECOS Enrolled
97.58/100
CMS Quality Rating
1108 ROSS CLARK CIR, PATHOLOGY DEPARTMENT, DOTHAN, AL 36301(334) 793-8058(334) 793-0070 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1104096544) is an individual dermatopathology provider in Dothan, Alabama, licensed in Alabama (32386) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104096544
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. JAMES JOSEPH LYONSCredential: M.D.
Location Address1108 ROSS CLARK CIR, PATHOLOGY DEPARTMENTDothan, AL 36301-3022
Mailing Address1108 Ross Clark Cir, Pathology DepartmentDothan, AL 36301-3022 · (334) 793-8058 · Fax (334) 793-0070
Phone(334) 793-8058
Fax(334) 793-0070
Sole ProprietorNo
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMay 17, 2013
✔ NPI 1104096544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in AL · 32386
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 32386 (AL)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 32386 (AL)
1108 ROSS CLARK CIR, Dothan, AL 36301
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN679170ZZIN
Medicaid200942800IN
Medicare PINP00795809IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Joseph 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

2

Medicare enrollment records show James Lyons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Laboratory Associates
Same address
Anatomic Pathology & Clinical Pathology
1108 ROSS CLARK CIR
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1134190648 (334) 671-1696
Houston County Healthcare Authority
0.1 mi
Internal Medicine
1108 ROSS CLARK CIR
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1538597349 (334) 793-8087

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 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

DAVID TYLER WARREN M.D.
Anesthesiology
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
GINA L SEARCY CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8087
HOUSTON COUNTY HEALTHCARE AUTHORITY
Psychiatric Unit
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
JOHN THOMPSON M.D.
Pediatrics
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
DENNIS MORRISON CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8087
SAEEDA K. MALIK MD
Psychiatry & Neurology (Neurology)
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8870
MR. PATRICK FRANCIS LUX CRNA
Nurse Anesthetist, Certified Registered
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8765
D'ANGELEAU NEWSOME DO
Student in an Organized Health Care Education/Training Program
1108 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111

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 1104096544. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Where is James Lyons located?

James Lyons practices at 1108 Ross Clark Cir Pathology Department, Dothan, AL 36301. The listed phone number is (334) 793-8058.

What is James Lyons's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is James Lyons enrolled in Medicare?

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

Which organizations bill Medicare for James Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lyons reassigns Medicare benefits to 2 organizations: Pathology Laboratory Associates (Dothan, AL) and Houston County Healthcare Authority (Dothan, AL). 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 James Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lyons accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare and UnitedHealthcare 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.

When was this NPI record last updated?

The NPPES record for James Lyons was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.