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DR. RALPH CORNELL LYONS M.D.
NPI 1740379866
Internal Medicine - Gastroenterology in Riverdale, GA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.27/100
CMS Quality Rating
34 UPPER RIVERDALE RD, SUITE 201, RIVERDALE, GA 30274(678) 904-0094(678) 904-0098 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ralph Cornell Lyons M.d. NPPES

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

DR. RALPH CORNELL LYONS M.D. (NPI 1740379866) is an individual gastroenterology provider in Riverdale, Georgia, licensed in Georgia (025217) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1982).

NPPES Registry Identity

NPI1740379866
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RALPH CORNELL LYONSCredential: M.D.
Location Address34 UPPER RIVERDALE RD, SUITE 201Riverdale, GA 30274-2635
Mailing Address34 Upper Riverdale Rd Se, Suite 201Riverdale, GA 30274-2635 · (678) 904-0094 · Fax (678) 904-0098
Phone(678) 904-0094
Fax(678) 904-0098
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1982
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740379866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 025217
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
34 UPPER RIVERDALE RD, Riverdale, GA 30274
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE93179GA
Medicare ID-Type Unspecified11BDBJHGA
Medicaid00307194BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Ralph Cornell Lyons 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 ID6800848862
PECOS Enrollment IDI20111207000634
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

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

80.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.87
Promoting Interoperability97
Improvement Activities40
Cost84.86

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%129 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%224 patients5/55-star benchmark: 100%
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

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

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$8.85 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 3

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

ALLIED ANKLE & FOOTCARE CENTERS PC
Podiatrist (Foot & Ankle Surgery)
34 UPPER RIVERDALE RD, SUITE 203
RIVERDALE, GA 30274
Clayton County (770) 907-7973
ERIC ALLEN SCHEINBART MD
General Practice
34 UPPER RIVERDALE RD, STE 100
RIVERDALE, GA 30274
Clayton County (770) 907-7222
DIAGNOSTICS IMAGING SERVICES
Clinic/Center (Radiology)
34 UPPER RIVERDALE RD, STE# 102
RIVERDALE, GA 30274
Clayton County (770) 991-6001

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 Ralph Lyons's NPI number?

The NPI number for Ralph Lyons is 1740379866. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Ralph Lyons located?

Ralph Lyons practices at 34 Upper Riverdale Rd Suite 201, Riverdale, GA 30274. The listed phone number is (678) 904-0094.

What is Ralph Lyons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ralph Lyons enrolled in Medicare?

Yes. Ralph 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.

What insurance does Ralph Lyons accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ralph Lyons 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 Ralph Lyons affiliated with any hospitals?

According to CMS data, Ralph Lyons is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Lyons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.