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TIMOTHY LYONS MD
NPI 1164636825
Family Medicine in Jerseyville, IL

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(618) 498-2101(618) 498-8153 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2024, Jun 2, 2023, Jul 13, 2020 and 2 more (5 updates tracked since 2016).

About Timothy Lyons Md NPPES

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

TIMOTHY LYONS MD (NPI 1164636825) is an individual family medicine provider in Jerseyville, Illinois, licensed in Illinois (036116621) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164636825
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY LYONSCredential: MD
Location Address390 MAPLE SUMMIT RDJerseyville, IL 62052-2000
Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052
Phone(618) 498-2101
Fax(618) 498-8153
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2004
Enumeration DateMay 10, 2007
Last NPPES UpdateNovember 13, 20245 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1164636825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036116621
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.

390 MAPLE SUMMIT RD, Jerseyville, IL 62052
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 Myrtle LaneHardin, IL 62047 · Phone (618) 576-9407 · Fax (618) 576-2260
Location 2414 S State StRoodhouse, IL 62082-1544 · Phone (217) 589-4383 · Fax (217) 589-4409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Timothy Lyons Md 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 ID2668566613
PECOS Enrollment IDI20070920000776
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 5

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
70 services54 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
47 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
17 services15 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
15 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL
OwnershipGovernment - Local
CMS Certification Number141300
Location800 School StCarrollton, IL 62016 · Greene County
Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers36 claims129 services$5.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$105.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers15 claims37 services$42.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers21 claims21 services$57.35 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers22 claims22 services$20.97 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
9 suppliers36 claims36 services$15.63 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 15

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

DR. SRIRAMA S KURELLA M.D.
Internal Medicine
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-7518
MRS. DEBORAH MARIE SEYMOUR APN-BC
Nurse Practitioner
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101
COLLEEN M CANAVAN PA
Physician Assistant
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101
MS. VICTORIA A HARGRAVE FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101
LEONCIO S DIZON MD
Internal Medicine
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-7518
ALEXANDRA IRENE EVANS FNP-BC
Nurse Practitioner (Family)
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101
LESTER A CRANCER DO
Internal Medicine
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101
CARRIE H KALLAL MSN APRN
Nurse Practitioner (Pediatrics)
390 MAPLE SUMMIT RD, ILLINI BLDG
JERSEYVILLE, IL 62052
Jersey County (618) 498-2101

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 Timothy Lyons's NPI number?

The NPI number for Timothy Lyons is 1164636825. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Timothy Lyons located?

Timothy Lyons practices at 390 Maple Summit Rd, Jerseyville, IL 62052. The listed phone number is (618) 498-2101.

What is Timothy Lyons's specialty?

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

Is Timothy Lyons enrolled in Medicare?

Yes. Timothy 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 Timothy Lyons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Timothy 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 Timothy Lyons affiliated with any hospitals?

According to CMS data, Timothy Lyons is affiliated with Alton Memorial Hospital, Jersey Community Hospital, Thomas H Boyd Memorial Hospital, Barnes Jewish Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Lyons was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.