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DR. GHOLSON JAMES LYON MD PHD
NPI 1811910508
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since July 25, 2006PECOS Enrolled
3838 S 700 E STE 101, SALT LAKE CITY, UT 84106(646) 872-1219 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gholson James Lyon Md Phd NPPES

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

DR. GHOLSON JAMES LYON MD PHD (NPI 1811910508) is an individual psychiatry provider in Salt Lake City, Utah, licensed in New York (237203) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811910508
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GHOLSON JAMES LYONCredential: MD PHD
Location Address3838 S 700 E STE 101Salt Lake City, UT 84106-1494
Mailing Address6017 E Pioneer Fork RdSalt Lake City, UT 84108-3614 · (646) 872-1219
Phone(646) 872-1219
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1811910508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 237203
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3838 S 700 E STE 101, Salt Lake City, UT 84106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gholson James Lyon Md Phd 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gholson Lyon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Numinus Wellness Ut Inc
40 mi
Psychiatry
672 W 400 S STE 201
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • 63 clinicians in this Medicare group
NPI 1265092282 (801) 369-8989
Premier Healthcare, Inc.
1,972 mi
Developmental Disabilities
460 WEST 34TH STREET, 9TH FLOOR
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 163 clinicians in this Medicare group
NPI 1831330182 (212) 273-6519

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84106 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 2

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

STEINMANN INSTITUTE, LLC
Clinical Neuropsychologist
3838 S 700 E STE 101
SALT LAKE CITY, UT 84106
Salt Lake County (801) 716-4284
LISA MICHELLE SUGERMAN-HERMANSEN PHD
Clinical Neuropsychologist
3838 S 700 E STE 101
SALT LAKE CITY, UT 84106
Salt Lake County (801) 716-4284

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 Gholson Lyon's NPI number?

The NPI number for Gholson Lyon is 1811910508. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Gholson Lyon located?

Gholson Lyon practices at 3838 S 700 E Ste 101, Salt Lake City, UT 84106. The listed phone number is (646) 872-1219.

What is Gholson Lyon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gholson Lyon enrolled in Medicare?

Yes. Gholson Lyon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gholson Lyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gholson Lyon reassigns Medicare benefits to 2 organizations: Numinus Wellness Ut Inc (Springville, UT) and Premier Healthcare, Inc. (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gholson Lyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gholson Lyon was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.