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DR. HENRY D LYON D.D.S.
NPI 1467476184
Dentist - General Practice in Stevensville, MI

Active since July 26, 2006PECOS Enrolled
2454 W GLENLORD RD, STEVENSVILLE, MI 49127(269) 428-2222(269) 428-4444 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Henry D Lyon D.d.s. NPPES

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

DR. HENRY D LYON D.D.S. (NPI 1467476184) is an individual general practice provider in Stevensville, Michigan, licensed in Michigan (2901012527) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467476184
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HENRY D LYONCredential: D.D.S.
Location Address2454 W GLENLORD RDStevensville, MI 49127-9557
Mailing Address2454 W Glenlord RdStevensville, MI 49127-9557 · (269) 428-2222 · Fax (269) 428-4444
Phone(269) 428-2222
Fax(269) 428-4444
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 26, 2007
✔ NPI 1467476184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901012527
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2454 W GLENLORD RD, Stevensville, MI 49127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry D Lyon D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Henry Lyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intercare Community Health Network
6.3 mi
Federally Qualified Health Center (FQHC)
1485 M 139
Benton Harbor, MI 49022
  • Reassigned Medicare billing, Michigan enrollment
  • 101 clinicians in this Medicare group
NPI 1902235328 (269) 926-2595

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49127 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

HENRY D LYON DDS PC
Clinic/Center (Dental)
2454 W GLENLORD RD
STEVENSVILLE, MI 49127
Berrien County (269) 428-2222

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 Henry Lyon's NPI number?

The NPI number for Henry Lyon is 1467476184. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Henry Lyon located?

Henry Lyon practices at 2454 W Glenlord Rd, Stevensville, MI 49127. The listed phone number is (269) 428-2222.

What is Henry Lyon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Henry Lyon enrolled in Medicare?

Yes. Henry Lyon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henry Lyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Lyon reassigns Medicare benefits to Intercare Community Health Network (Benton Harbor, MI). The 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 Henry Lyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henry Lyon accept?

Health plans from Guardian list Henry 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 Henry Lyon was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.