Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH M LYSSY JR. M.D.
NPI 1194718361
Family Medicine in San Antonio, TX

Q: What is Kenneth Lyssy's NPI number?

The NPI number for Kenneth Lyssy is 1194718361. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Kenneth Lyssy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Lyssy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since August 23, 2005PECOS Enrolled

6100 BANDERA RD, 403, SAN ANTONIO, TX 78238(210) 256-9500(210) 256-8720 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth M Lyssy Jr. M.d. NPPES

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

DR. KENNETH M LYSSY JR. M.D. (NPI 1194718361) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (J3539) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194718361

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH M LYSSY JR.Credential: M.D.

Location Address6100 BANDERA RD, 403San Antonio, TX 78238-1652

Mailing Address6100 Bandera Rd, 403San Antonio, TX 78238-1652 · (210) 256-9500 · Fax (210) 256-8720

Phone(210) 256-9500

Fax(210) 256-8720

Sole ProprietorNo

Enumeration DateAugust 23, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1194718361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · J3539

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.

6100 BANDERA RD, San Antonio, TX 78238

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Other Identifiers 1

Other0098ENTX · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth M Lyssy Jr. 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.

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 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.

185 services96 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.

154 services92 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

47 services20 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

36 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78238 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 5

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

KENNETH M. LYSSY JR MD PA

Family Medicine

6100 BANDERA RD, SUITE 403
SAN ANTONIO, TX 78238

Bexar County (210) 256-9500

PAIN & NEUROMUSCULAR CLINIC OF TEXAS , P.A.

Specialist

6100 BANDERA RD, 710
SAN ANTONIO, TX 78238

Bexar County (210) 826-2311

LAWRENCE PAUL DIMICELI DDS

Dentist

6100 BANDERA RD, STE 300
SAN ANTONIO, TX 78238

Bexar County (210) 680-1618

DR. KATHLEEN JANE LYSSY M.D.

Internal Medicine

6100 BANDERA RD, 403
SAN ANTONIO, TX 78238

Bexar County (210) 256-9500

MR. PRAFUL R MEHTA M.D.

Internal Medicine

6100 BANDERA RD, SUITE 710
SAN ANTONIO, TX 78238

Bexar County (210) 523-9800

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 Kenneth Lyssy's NPI number?

The NPI number for Kenneth Lyssy is 1194718361. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Kenneth Lyssy located?

Kenneth Lyssy practices at 6100 Bandera Rd 403, San Antonio, TX 78238. The listed phone number is (210) 256-9500.

What is Kenneth Lyssy's specialty?

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

Is Kenneth Lyssy enrolled in Medicare?

Yes. Kenneth Lyssy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Lyssy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.