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DR. LARRY NEAL LYLE D.O.
NPI 1669547469
Family Medicine in San Diego, CA

Active since November 21, 2006PECOS Enrolled
3719 LOUISIANA ST, SAN DIEGO, CA 92104(619) 368-3408(619) 299-4775 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry Neal Lyle D.o. NPPES

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

DR. LARRY NEAL LYLE D.O. (NPI 1669547469) is an individual family medicine provider in San Diego, California, licensed in California (20A6466) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669547469
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LARRY NEAL LYLECredential: D.O.
Location Address3719 LOUISIANA STSan Diego, CA 92104-3312
Mailing Address3719 Louisiana StSan Diego, CA 92104-3312 · (619) 368-3408 · Fax (619) 299-4775
Phone(619) 368-3408
Fax(619) 299-4775
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateMay 12, 2011
✔ NPI 1669547469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6466
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.
3719 LOUISIANA ST, San Diego, CA 92104
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Other Identifiers 1

Medicare UPING09589CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry Neal Lyle D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92104 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Larry Lyle's NPI number?

The NPI number for Larry Lyle is 1669547469. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Larry Lyle located?

Larry Lyle practices at 3719 Louisiana St, San Diego, CA 92104. The listed phone number is (619) 368-3408.

What is Larry Lyle's specialty?

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

Is Larry Lyle enrolled in Medicare?

Yes. Larry Lyle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Lyle was last updated on May 12, 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.