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JONATHAN LYONS D.O.
NPI 1104213206
Family Medicine in Mc Dowell, KY

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
9879 KY ROUTE 122, MC DOWELL, KY 41647(606) 377-3427(606) 377-3466 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Aug 13, 2020, Nov 30, 2018 and 1 more (4 updates tracked since 2017).

About Jonathan Lyons D.o. NPPES

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

JONATHAN LYONS D.O. (NPI 1104213206) is an individual family medicine provider in Mc Dowell, Kentucky, licensed in Kentucky (04160) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104213206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN LYONSCredential: D.O.
Location Address9879 KY ROUTE 122Mc Dowell, KY 41647-6026
Mailing Address9879 Ky Route 122Mc Dowell, KY 41647-6026 · (606) 452-1700 · Fax (606) 452-1703
Phone(606) 377-3427
Fax(606) 377-3466
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2015
Enumeration DateApril 16, 2015
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1104213206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 04160
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9879 KY ROUTE 122, Mc Dowell, KY 41647
Open in Google Maps ↗

Secondary Practice Locations 2

Location 124 Left Penhook RdHarold, KY 41635-7064 · Phone (606) 285-6690 · Fax (606) 478-4801
Location 2535 N Lake DrPrestonsburg, KY 41653-1278 · Phone (606) 886-8466 · Fax (606) 886-0250

Other Identifiers 1

Medicaid7100510970KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Lyons D.o. 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 ID5890068407
PECOS Enrollment IDI20170901002187
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

6

Medicare enrollment records show Jonathan Lyons reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc
Same address
Multi-Specialty
9879 KY ROUTE 122 LOT 1
Mc Dowell, KY 41647
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1861671117 (Kentucky)
  • 419 clinicians in this Medicare group
NPI 1871189019 (606) 285-6570
Arh Mary Breckinridge Health Services, Inc.
8.4 mi
Rural Health
24 LEFT PENHOOK RD
Harold, KY 41635
  • Reassigned Medicare billing, Kentucky enrollment
  • 97 clinicians in this Medicare group
NPI 1194351460 (606) 478-8787
Arh Tug Valley Health Services, Inc.
19 mi
Otolaryngology
5322 KY ROUTE 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1093672230 (606) 886-2712
Southern Medical Partners, LLC
27 mi
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
NPI 1538109962 (606) 439-6651
Hyden Emergency Physicians, LLC
40 mi
Emergency Medicine
130 KATE IRELAND DR
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 clinicians in this Medicare group
NPI 1497036776 (877) 693-5700
Middlesborough Emergency Physicians LLC
80 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1972715878 (606) 237-1700

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

Hospital Affiliations CMS Care Compare 3

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Arh Our Lady Of The Way

Critical Access Hospitals · Martin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181305
Location11203 Main StreetMartin, KY 41649 · Floyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41647 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier30 claims30 services$20.53 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
1 supplier30 claims30 services$118.40 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$28.80 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 17

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

APPALACHIAN REGIONAL HEALTHCARE, INC
Medicare Defined Swing Bed Unit
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3400
EMILY HAMMONDS PA-C
Physician Assistant
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3462
MS. RONNIE WEBB
Community Health Worker
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3400
MS. MARY ALICE HALL MD
Family Medicine
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3462
MCDOWELL APPALACHIAN REGIONAL HOSPITAL
Clinical Medical Laboratory
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3401
GRETA JENKINS
Occupational Therapist
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3431
DR. TERRY LEON WRIGHT M.D.
Family Medicine
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3462
MS. JENNY BUCK APRN
Nurse Practitioner
9879 KY ROUTE 122
MC DOWELL, KY 41647
Floyd County (606) 377-3462

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 Jonathan Lyons's NPI number?

The NPI number for Jonathan Lyons is 1104213206. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Jonathan Lyons located?

Jonathan Lyons practices at 9879 Ky Route 122, Mc Dowell, KY 41647. The listed phone number is (606) 377-3427.

What is Jonathan Lyons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Lyons enrolled in Medicare?

Yes. Jonathan 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.

Which organizations bill Medicare for Jonathan Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Lyons reassigns Medicare benefits to 6 organizations: Appalachian Regional Healthcare, Inc (Mc Dowell, KY), Arh Mary Breckinridge Health Services, Inc. (Harold, KY), Arh Tug Valley Health Services, Inc. (Prestonsburg, KY), Southern Medical Partners, LLC (Hazard, KY), Hyden Emergency Physicians, LLC (Hyden, KY) and 1 more organization, listed in the Medicare section above. 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 Jonathan Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Lyons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Jonathan 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 Jonathan Lyons affiliated with any hospitals?

According to CMS data, Jonathan Lyons is affiliated with Highlands Arh Regional Medical Center, Pikeville Medical Center and Arh Our Lady Of The Way.

When was this NPI record last updated?

The NPPES record for Jonathan Lyons was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.