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MARIO LYSSE MD
NPI 1801106059
Internal Medicine in Belchertown, MA

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
95 SARGENT STREET, ROUTE 9, BELCHERTOWN, MA 01007(413) 323-7212(413) 967-2524 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Jan 19, 2018, Nov 14, 2016 and 1 more (4 updates tracked since 2016).

About Mario Lysse Md NPPES

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

MARIO LYSSE MD (NPI 1801106059) is an individual internal medicine provider in Belchertown, Massachusetts, licensed in Massachusetts (246152) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1801106059
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARIO LYSSECredential: MD
Location Address95 SARGENT STREET, ROUTE 9Belchertown, MA 01007-9881
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 323-7212
Fax(413) 967-2524
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 20, 2010
Last NPPES UpdateJuly 14, 20204 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1801106059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 246152
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
95 SARGENT STREET, Belchertown, MA 01007
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mario Lysse Md 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 ID1052580305
PECOS Enrollment IDI20110803000393
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 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.

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.
254 services182 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
155 services155 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
121 services105 patients
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.
64 services58 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
49 services46 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01007 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers62 claims163 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims16 services$0.92 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier32 claims960 services$4.13 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims2,150 services$0.30 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,308 services$0.93 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims446 services$0.60 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.

BART T SOAR M.D.
Internal Medicine
95 SARGENT STREET
BELCHERTOWN, MA 01007
Hampshire County (413) 323-7212
MAC NEWMAN CMHC, AAP
Counselor (Mental Health)
95 SARGENT STREET
BELCHERTOWN, MA 01007
Hampshire County (413) 323-7212
HILARY MARIE HAYDEN-MORYL NP
Nurse Practitioner (Family)
95 SARGENT STREET, ROUTE 9
BELCHERTOWN, MA 01007
Hampshire County (413) 323-7212

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 Mario Lysse's NPI number?

The NPI number for Mario Lysse is 1801106059. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Mario Lysse located?

Mario Lysse practices at 95 Sargent Street Route 9, Belchertown, MA 01007. The listed phone number is (413) 323-7212.

What is Mario Lysse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mario Lysse enrolled in Medicare?

Yes. Mario Lysse 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 Mario Lysse accept?

Health plans from Anthem Blue Cross and Blue Shield list Mario Lysse 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 Mario Lysse affiliated with any hospitals?

According to CMS data, Mario Lysse is affiliated with Baystate Franklin Medical Center, Baystate Wing Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Mario Lysse was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.