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ANTHONY J. LYON M.D.
NPI 1609197458
Family Medicine in New York, NY

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
800A FIFTH AVENUE SUITE 205, THE ASH CENTER FOR COMPREHENSIVE MEDICINE, NEW YORK, NY 10065(212) 758-3200(212) 754-5800 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2021, Feb 28, 2017 (2 updates tracked since 2017).

About Anthony J. Lyon M.d. NPPES

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

ANTHONY J. LYON M.D. (NPI 1609197458) is an individual family medicine provider in New York, New York, licensed in New York (A258376-1) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1609197458
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY J. LYONCredential: M.D.
Location Address800A FIFTH AVENUE SUITE 205, THE ASH CENTER FOR COMPREHENSIVE MEDICINENew York, NY 10065
Mailing Address1 Healthy WayOceanside, NY 11572-1551 · (516) 632-3666
Phone(212) 758-3200
Fax(212) 754-5800
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 16, 2010
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1609197458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · A258376-1✔ Licensed in NY · 258376
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
800A FIFTH AVENUE SUITE 205, New York, NY 10065
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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

Anthony J. Lyon 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 ID9537349634
PECOS Enrollment IDI20110207000677
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 Anthony Lyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Sinai School Of Medicine
16 mi
Cardiovascular Disease
10 E MERRICK RD STE 207
Valley Stream, NY 11580
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1942777347 (516) 256-2017

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
684 services278 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
333 services180 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
247 services228 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services134 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 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 supplier18 claims18 services$65.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anthony Lyon's NPI number?

The NPI number for Anthony Lyon is 1609197458. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Anthony Lyon located?

Anthony Lyon practices at 800A Fifth Avenue Suite 205 The Ash Center For Comprehensive Medicine, New York, NY 10065. The listed phone number is (212) 758-3200.

What is Anthony Lyon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Lyon enrolled in Medicare?

Yes. Anthony 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.

Which organization bills Medicare for Anthony Lyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Lyon reassigns Medicare benefits to Mount Sinai School Of Medicine (Valley Stream, NY). 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 Anthony Lyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anthony Lyon affiliated with any hospitals?

According to CMS data, Anthony Lyon is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Anthony Lyon was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.