JACOB LYON DO
NPI 1386492080
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Q: What is Jacob Lyon's NPI number?

The NPI number for Jacob Lyon is 1386492080. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Q: What is Jacob Lyon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Lyon was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2024PECOS Enrolled

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 456-0857 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jacob Lyon Do NPPES

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

JACOB LYON DO (NPI 1386492080) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (5151016567) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386492080

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACOB LYONCredential: DO

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927

Phone(616) 456-0857

Sole ProprietorNo

Enumeration DateMay 8, 2024

NPPES CertifiedMay 8, 2024

✔ NPI 1386492080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 5151016567

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

300 68TH ST SE, Grand Rapids, MI 49548

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Lyon Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.