DR. JORDAN WHITNEY LYONS
NPI 1477933224
Family Medicine in Camp Pendleton, CA
About Dr. Jordan Whitney Lyons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN WHITNEY LYONS (NPI 1477933224) is an individual family medicine provider in Camp Pendleton, California, licensed in Indiana (01077259A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2015).
NPPES Registry Identity
Specialties & Licenses
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. Jordan Whitney Lyons 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Lyons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 5,228 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMP PENDLETON, CA 92058
OCEANSIDE, CA 92058
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 Jordan Lyons's NPI number?
The NPI number for Jordan Lyons is 1477933224. It was assigned to this individual provider in the NPPES registry on June 8, 2015.
Where is Jordan Lyons located?
Jordan Lyons practices at 200 Mercy Circle, Camp Pendleton, CA 92058. The listed phone number is (760) 725-4357.
What is Jordan Lyons's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Lyons enrolled in Medicare?
Yes. Jordan Lyons 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 organization bills Medicare for Jordan Lyons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Lyons reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Jordan Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Lyons was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jordan Whitney Lyons · NPI 1477933224
Family Medicine physician in Camp Pendleton, California. Individual provider, active in the CMS NPPES registry since June 8, 2015.
## Identity
- **NPI:** 1477933224 (Entity type: Individual)
- **Enumerated:** June 8, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01077259A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MERCY CIRCLE, Camp Pendleton, CA 92058
- **Phone:** (760) 725-4357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2015
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477933224) · Data from the CMS NPPES public registry.