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DR. ERIK MACKINNON LYMAN M.D.
NPI 1568680122
Otolaryngology in Price, UT

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
945 W HOSPITAL DR, SUITE # 1, PRICE, UT 84501(435) 637-4327 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Erik Mackinnon Lyman M.d. NPPES

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

DR. ERIK MACKINNON LYMAN M.D. (NPI 1568680122) is an individual otolaryngology provider in Price, Utah, licensed in Utah (4951922-1205) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Castleview Hospital, and is a graduate of Ohio State University College Of Medicine (2006).

NPPES Registry Identity

NPI1568680122
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ERIK MACKINNON LYMANCredential: M.D.
Location Address945 W HOSPITAL DR, SUITE # 1Price, UT 84501-4214
Mailing Address945 W Hospital Dr, Suite # 1Price, UT 84501-4214 · (435) 637-4327
Phone(435) 637-4327
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2006
Enumeration DateApril 20, 2007
Last NPPES UpdateJune 28, 2011
✔ NPI 1568680122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in UT · 4951922-1205
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
945 W HOSPITAL DR, Price, UT 84501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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. Erik Mackinnon Lyman M.d. 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 ID2567633316
PECOS Enrollment IDI20110927000635
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 6

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 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.
113 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 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.
99 services77 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
86 services86 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
78 services67 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
48 services47 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84501 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
13%207 patients1/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%397 patients2/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%224 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%278 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%370 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%370 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%370 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims50 services$3.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CASTLEVIEW PHYSICIAN PRACTICES LLC
Internal Medicine
945 W HOSPITAL DR, SUITE 4
PRICE, UT 84501
Carbon County (435) 637-7801
CASTLEVIEW PHYSICIAN PRACTICES LLC
Family Medicine
945 W HOSPITAL DR, SUITE 8
PRICE, UT 84501
Carbon County (435) 637-6348
CASTLEVIEW PHYSICIAN PRACTICE, LLC
Surgery
945 W HOSPITAL DR, SUITE #4
PRICE, UT 84501
Carbon County (435) 637-1776
CASTLEVIEW PHYSICIAN PRACTICES, LLC
Pain Medicine (Pain Medicine)
945 W HOSPITAL DR, SUITE # 4
PRICE, UT 84501
Carbon County (435) 637-7246
DR. BRET K LOWE DDS, PC
Dentist (General Practice)
945 W HOSPITAL DR, SUITE 5
PRICE, UT 84501
Carbon County (435) 637-2929
CASTLEVIEW PHYSICIAN PRACTICES, LLC
Otolaryngology (Plastic Surgery within the Head & Neck)
945 W HOSPITAL DR, SUITE #1
PRICE, UT 84501
Carbon County (435) 637-3584
DR. WAYNE ELDON COX M.D.
Surgery
945 W HOSPITAL DR, SUITE 3
PRICE, UT 84501
Carbon County (435) 637-2970
DR. RYAN MARK HANSON AU.D.
Audiologist
945 W HOSPITAL DR, SUITE #1
PRICE, UT 84501
Carbon County (435) 637-4327

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 Erik Lyman's NPI number?

The NPI number for Erik Lyman is 1568680122. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Erik Lyman located?

Erik Lyman practices at 945 W Hospital Dr Suite # 1, Price, UT 84501. The listed phone number is (435) 637-4327.

What is Erik Lyman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Erik Lyman enrolled in Medicare?

Yes. Erik Lyman 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 Erik Lyman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Erik Lyman 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.

Is Erik Lyman affiliated with any hospitals?

According to CMS data, Erik Lyman is affiliated with Castleview Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Erik Lyman was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.