DR. MARK ANDREW LYERLY MD
NPI 1881661791
Neurological Surgery in Winston Salem, NC
Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
190 KIMEL PARK DR STE 155, WINSTON SALEM, NC 27103(336) 765-6637(336) 765-6964 Get Directions Write a Review
About Dr. Mark Andrew Lyerly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK ANDREW LYERLY MD (NPI 1881661791) is an individual neurological surgery provider in Winston Salem, North Carolina, licensed in North Carolina (35415) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
NPI1881661791
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MARK ANDREW LYERLYCredential: MD
Location Address190 KIMEL PARK DR STE 155Winston Salem, NC 27103-6946
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 765-6637
Fax(336) 765-6964
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1988
Enumeration DateMarch 1, 2006
Last NPPES UpdateMarch 13, 20246 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1881661791 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in NC · 35415✔ Licensed in ME · MD25702✔ Licensed in WV · 29021
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
190 KIMEL PARK DR STE 155, Winston Salem, NC 27103
Secondary Practice Locations 3
Location 1880 N Tennessee Ave Ste 104Martinsburg, WV 25401-9401 · Phone (304) 596-5160 · Fax (304) 596-5161
Location 2360 BroadwayBangor, ME 04401-3900 · Phone (207) 907-1617 · Fax (207) 907-1627
Location 31226 Eastchester Dr Ste 200High Point, NC 27265-3116 · Phone (336) 481-8670 · Fax (336) 481-8679
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
Dr. Mark Andrew Lyerly 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 ID9133195415
PECOS Enrollment IDI20221003001971
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 8
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.
42 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services12 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
16 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
14 services14 patients
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEOwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEOwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly
Charles A Dean Memorial Hospital
Critical Access Hospitals · Greenville, MEOwnershipGovernment - Hospital District or Authority
CMS Certification Number201301
LocationPO Box 1129Greenville, ME 04441 · Piscataquis County
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified
55%80 patients3/55-star benchmark: 99%
Anti-Depressant Medication Management
Percentage of patients 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression, and who remained on an antidepressant medication treatment.
59%32 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%281 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
29%131 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
5%406 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%162 patients4/55-star benchmark: 100%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 19% · 86 patients
Patients 4MonthsOfStart: 15% · 66 patients
14%91 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%193 patients2/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
46%191 patients2/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
87%193 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
48%1,829 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
61%448 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
53%452 patients3/55-star benchmark: 90%
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…
53%916 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
42%729 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
52%672 patients3/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 290 patients
Patients tobacco: 82% · 290 patients
9%58 patients1/55-star benchmark: 98%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
53%80 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
69%512 patients3/55-star benchmark: 89%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
7%90 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 10% · 452 patients
31%452 patients1/55-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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
Orthopaedic Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
Neurological Surgery
190 KIMEL PARK DR STE 155
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 Mark Lyerly's NPI number?
The NPI number for Mark Lyerly is 1881661791. It was assigned to this individual provider in the NPPES registry on March 1, 2006.
Where is Mark Lyerly located?
Mark Lyerly practices at 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103. The listed phone number is (336) 765-6637.
What is Mark Lyerly's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Mark Lyerly enrolled in Medicare?
Yes. Mark Lyerly 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 Mark Lyerly accept?
Health plans from Anthem Blue Cross and Blue Shield list Mark Lyerly 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 Mark Lyerly affiliated with any hospitals?
According to CMS data, Mark Lyerly is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center and Charles A Dean Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mark Lyerly was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mark Andrew Lyerly, MD · NPI 1881661791
Neurological Surgery physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since March 1, 2006.
## Identity
- **NPI:** 1881661791 (Entity type: Individual)
- **Enumerated:** March 1, 2006
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** 35415 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 KIMEL PARK DR STE 155, Winston Salem, NC 27103-6946
- **Phone:** (336) 765-6637 · **Fax:** (336) 765-6964
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Duke University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** March 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881661791) · Data from the CMS NPPES public registry.