Robert Patrick Lyons, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Chambersburg, PA
NPI 1114909009 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1114909009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD048632L (PA)
- Practice address
- 120 N 7TH St Ste 101
Chambersburg, PA 17201-1795 - Phone
- (717) 263-1220
- Fax
- (717) 263-6255
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Temple University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
120 N 7TH St
Chambersburg, PA 17201-1795
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
601 E Main St
Waynesboro, PA 17268-2332
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Wellspan Waynesboro Hospital
- Gettysburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 24 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060925000501 | PA | Practitioner - Orthopedic Surgery |
5597740308 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00374 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Great Lakes Orthopaedic Center, P.C. | Orthopaedic Surgery | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
120 N 7th St
Ste 101
Chambersburg, PA 17201
Phone (717) 749-4801
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- rlyons227736@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2004-00374 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | MD048632L | PA | Yes |
Addresses
Primary practice location
120 N 7TH St Ste 101
Chambersburg, PA 17201-1795
Mailing address
785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 263-1220
Other practice location 2
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 263-1220
Other practice location 3
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 263-1220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N74004 | Medicaid | SC | |
| 104274NZ3 | Other | PA | MEDICARE HERSHEY |
| 891363A | Medicaid | NE | |
| 101700481 | Medicaid | PA | |
| 101700481 0001 | Other | PA | MEDICAID HERSHEY |
NPI Registry JSON
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1114909009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE",
"address_2": "SUITE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-217-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N 7TH ST STE 101",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011795",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255"
}
],
"practiceLocations": [
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-263-1220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2004-00374",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD048632L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N74004",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HERSHEY",
"identifier": "104274NZ3",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891363A",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101700481",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID HERSHEY",
"identifier": "101700481 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
- Ludwick Eye Center, LTD
- Ludwick Laser & Surgery Center, LLC
- David John Ludwick
- Wesley Joseph Luke
- Diana J Lyon-Loftus
- Barbara Macdonald
- Lori Calandrelli Mace
- Tammy Maclay
- Olena Macnichol
- Laszlo Irwin Madaras
All providers in Chambersburg, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.