STEPHANIE LYDEN MD
NPI 1962883850
Psychiatry & Neurology - Vascular Neurology in Salt Lake City, UT

Q: What is Stephanie Lyden's NPI number?

The NPI number for Stephanie Lyden is 1962883850. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Q: What is Stephanie Lyden's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Lyden was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment

175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132(801) 585-6387 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2021, Jun 12, 2019, Jun 14, 2016 (3 updates tracked since 2016).

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About Stephanie Lyden Md NPPES

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

STEPHANIE LYDEN MD (NPI 1962883850) is an individual vascular neurology provider in Salt Lake City, Utah, licensed in Utah (11250301-1205) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1962883850

Entity TypeIndividualFemale

Primary Taxonomy2084V0102X

Provider Legal NameSTEPHANIE LYDENCredential: MD

Location Address175 NORTH MEDICAL DRIVE EASTSalt Lake City, UT 84132-0001

Mailing Address175 North Medical Drive EastSalt Lake City, UT 84132-0001 · (801) 585-6387

Phone(801) 585-6387

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015

Enumeration DateJune 16, 2015

Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1962883850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in UT · 11250301-1205

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125067394 (IL)

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 125067394 (IL)

175 NORTH MEDICAL DRIVE EAST, Salt Lake City, UT 84132

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Secondary Practice Location 1

Location 11650 W Harrison StChicago, IL 60612-3800 · Phone (312) 942-9551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Lyden 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 ID3971894239

PECOS Enrollment IDI20190531000338

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

Medicare enrollment records show Stephanie Lyden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services

0.1 mi

General Practice

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1114321981 (801) 581-2121

Pocatello Health Services, LLC

148 mi

General Acute Care Hospital

651 MEMORIAL DR
Pocatello, ID 83201

Reassigned Medicare billing, Idaho enrollment
190 clinicians in this Medicare group

NPI 1689802852 (208) 239-2110

Colorado West Healthcare System

206 mi

Specialist

688 23 1/2 ROAD, SUITE 201
Grand Junction, CO 81505

Reassigned Medicare billing, Colorado enrollment
90 clinicians in this Medicare group

NPI 1811398324 (970) 254-3180

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

88 services35 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

63 services28 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.

50 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 14

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

TAMMY L SMITH M.D. PHD

Psychiatry & Neurology (Neurology)