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DR. VALERIE B. LYON MD
NPI 1215980941
Dermatology - Pediatric Dermatology in Glendale, WI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
375 W RIVER WOODS PKWY, SUITE 116, GLENDALE, WI 53212(414) 326-1563(414) 326-1589 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Valerie B. Lyon Md NPPES

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

DR. VALERIE B. LYON MD (NPI 1215980941) is an individual pediatric dermatology provider in Glendale, Wisconsin, licensed in Wisconsin (40772) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1215980941
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. VALERIE B. LYONCredential: MD
Location Address375 W RIVER WOODS PKWY, SUITE 116Glendale, WI 53212-1080
Mailing Address788 N. Jefferson Street, Suite 300 / Attn. Kaaren ButzenMilwaukee, WI 53202-3710 · (414) 272-8950 · Fax (414) 272-0859
Phone(414) 326-1563
Fax(414) 326-1589
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateMay 17, 2006
Last NPPES UpdateNovember 9, 2016
✔ NPI 1215980941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in WI · 40772
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatologyTaxonomy 207N00000X · License 40772 (WI)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 40772 (WI)
375 W RIVER WOODS PKWY, Glendale, WI 53212
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Other Identifiers 2

Medicaid1215980941WI
Medicare PIN003573645WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Dr. Valerie B. Lyon 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 ID5294766374
PECOS Enrollment IDI20071012000476
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
130 services29 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.
108 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services68 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
81 services53 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
68 services45 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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

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.

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.
Anesthesiology
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 326-1800
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
General Practice
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 326-1500
MARY D WASHBURNE MD
Family Medicine
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 963-7100
LEAH TAYLOR DONOVAN R.N., A.P.N.P.
Nurse Practitioner (Family)
375 W RIVER WOODS PKWY, SUITE 205
GLENDALE, WI 53212
Milwaukee County (414) 961-7250
IHC-URGENT CARE SERVICES LLC
Emergency Medicine
375 W RIVER WOODS PKWY
GLENDALE, WI 53212
Milwaukee County (414) 290-6718

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 Valerie Lyon's NPI number?

The NPI number for Valerie Lyon is 1215980941. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Valerie Lyon located?

Valerie Lyon practices at 375 W River Woods Pkwy Suite 116, Glendale, WI 53212. The listed phone number is (414) 326-1563.

What is Valerie Lyon's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Valerie Lyon enrolled in Medicare?

Yes. Valerie 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.

What insurance does Valerie Lyon accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Valerie 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 Valerie Lyon was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.