DR. DOUGLAS LYSSY MD/MBA
NPI 1659515617
Emergency Medicine in Ottumwa, IA

Q: What is Douglas Lyssy's NPI number?

The NPI number for Douglas Lyssy is 1659515617. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Q: What is Douglas Lyssy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Lyssy was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment

85.57/100

CMS Quality Rating

1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 984-2341 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Douglas Lyssy Md/mba NPPES

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

DR. DOUGLAS LYSSY MD/MBA (NPI 1659515617) is an individual emergency medicine provider in Ottumwa, Iowa, licensed in Iowa (46135) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Ottumwa Regional Health Center, and is a graduate of Yale University School Of Medicine (2007).

NPPES Registry Identity

NPI1659515617

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOUGLAS LYSSYCredential: MD/MBA

Location Address1001 PENNSYLVANIA AVEOttumwa, IA 52501-6427

Mailing Address5930 Gulf Of Mexico DrLongboat Key, FL 34228-1704 · (203) 804-8894

Phone(641) 984-2341

Sole ProprietorYes

Medical School CMSYale University School Of MedicineGraduated 2007

Enumeration DateApril 21, 2009

Last NPPES UpdateSeptember 24, 2024

NPPES CertifiedSeptember 24, 2024

✔ NPI 1659515617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IA · 46135✔ Licensed in FL · ME110142

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1001 PENNSYLVANIA AVE, Ottumwa, IA 52501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Douglas Lyssy Md/mba 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 ID1850547738

PECOS Enrollment IDI20190716000708

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

335 services313 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.

168 services160 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

56 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number160089

Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County

Emergency services Birthing friendly

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160153

Location801 5th StSioux City, IA 51101 · Woodbury County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

85.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.84

Improvement Activities

Cost

63.86

Other Providers at the Same Location NPPES 20

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

RCHP OTTUMWA LLC

General Acute Care Hospital