DR. JACOB LYON DO
NPI 1194254441
Family Medicine in Miami Beach, FL

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment
1613 ALTON RD # 2, MIAMI BEACH, FL 33139(305) 538-1400 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2021, Jul 6, 2021, Jun 9, 2017 (3 updates tracked since 2017).

About Dr. Jacob Lyon Do NPPES

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

DR. JACOB LYON DO (NPI 1194254441) is an individual family medicine provider in Miami Beach, Florida, licensed in Florida (OS22863) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington, and is a graduate of West Virginia University School Of Medicine (2017).

NPPES Registry Identity

NPI1194254441
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB LYONCredential: DO
Location Address1613 ALTON RD # 2Miami Beach, FL 33139-2420
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2017
Enumeration DateJune 9, 2017
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1194254441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS22863
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 3601 (WV)
1613 ALTON RD # 2, Miami Beach, FL 33139

Secondary Practice Location 1

Location 1800 20th StHuntington, WV 25703-1850 · Phone (304) 696-8701

Accepted 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

Dr. Jacob Lyon Do 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 ID9739582834
PECOS Enrollment IDI20260216002212
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 Jacob Lyon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4308 ALTON RD STE 870
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
Internal Medicine
1600 MEDICAL CENTER DRIVE
Huntington, WV 25701
  • Reassigned Medicare billing, West Virginia enrollment
  • 525 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services96 patients
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.
27 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 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.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33139 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Jacob Lyon's NPI number?

The NPI number for Jacob Lyon is 1194254441. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Jacob Lyon located?

Jacob Lyon practices at 1613 Alton Rd # 2, Miami Beach, FL 33139. The listed phone number is (305) 538-1400.

What is Jacob Lyon's specialty?

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

Is Jacob Lyon enrolled in Medicare?

Yes. Jacob Lyon 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 Jacob Lyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Lyon reassigns Medicare benefits to 2 organizations: Aids Healthcare Foundation (Miami Beach, FL) and University Physicians & Surgeons, Inc (Huntington, WV). 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 Jacob Lyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Lyon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Jacob Lyon 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 Jacob Lyon was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.