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DR. CRAIG R. LYLES M.D.
NPI 1801871199
Radiology - Diagnostic Radiology in Gainesville, GA

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
425 BROAD ST SE, GAINESVILLE, GA 30501(770) 718-9776 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Craig R. Lyles M.d. NPPES

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

DR. CRAIG R. LYLES M.D. (NPI 1801871199) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Alabama (00025981) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1801871199
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CRAIG R. LYLESCredential: M.D.
Location Address425 BROAD ST SEGainesville, GA 30501-3751
Mailing Address425 Broad St SeGainesville, GA 30501-3751 · (770) 718-9776
Phone(770) 718-9776
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1999
Enumeration DateDecember 9, 2005
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1801871199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in AL · 00025981
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
425 BROAD ST SE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINI08221
Medicaid009980095AL
Medicaid553281085BGA
OtherP00725554GA · Railroad Medicare
Medicare ID-Type Unspecified051554835LYLAL
Medicare PIN511I300459GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.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. Craig R. Lyles 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 ID5991783359
PECOS Enrollment IDI20220420000062
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 11

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.

Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
55 services55 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
50 services50 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
39 services39 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
38 services38 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
36 services36 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%401 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%29 patients
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.

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.

DR. BRIAN P GAY M.D.
Radiology (Diagnostic Radiology)
425 BROAD ST SE, SUITE 102
GAINESVILLE, GA 30501
Hall County (770) 718-9776
NORTHWEST DIAGNOSTIC IMAGING, INC
Radiology (Diagnostic Radiology)
425 BROAD ST SE
GAINESVILLE, GA 30501
Hall County (770) 718-9776
OPEN MRI OF GEORGIA, INC
Radiology (Diagnostic Radiology)
425 BROAD ST SE, SUITE 102
GAINESVILLE, GA 30501
Hall County (770) 718-9776

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 Craig Lyles's NPI number?

The NPI number for Craig Lyles is 1801871199. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Craig Lyles located?

Craig Lyles practices at 425 Broad St SE, Gainesville, GA 30501. The listed phone number is (770) 718-9776.

What is Craig Lyles's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Craig Lyles enrolled in Medicare?

Yes. Craig Lyles 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 Craig Lyles accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Craig Lyles 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.

When was this NPI record last updated?

The NPPES record for Craig Lyles was last updated on September 3, 2010. 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.