Individual provider Active NPI

David P Lyle, MD

  • Family Medicine Physician
  • Lexington, SC
National Provider Identifier
1154339331
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11782 Issued in SC
Practice address
122 Powell Dr
Lexington, SC 29072-9203
Phone
(803) 957-8400
Fax
(803) 957-1939
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11782 SC Primary

Addresses

Primary practice location

122 Powell Dr
Lexington, SC 29072-9203

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

145 Sunset Ct Ste 100
West Columbia, SC 29169-2429
Phone (803) 739-3550

Other identifiers 1

IdentifierTypeStateIssuer
117821MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlyle14722@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000256 SC Practitioner - Family Practice 9638156516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

122 Powell Dr
Lexington, SC 29072-9203
Phone (803) 957-8400

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11782SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health, Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Past Accepting new patients
Lexington County Health Serv Family Medicine Past Accepting new patients
Lexington Health Inc Family Medicine Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

7037 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 732-0963

76 Polo Rd
Columbia, SC 29223
Phone (803) 699-7255

1846 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 314-9640

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

5535 Platt Springs Rd
Lexington, SC 29073
Phone (803) 314-9510

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

145 Sunset Ct
Ste 100
West Columbia, SC 29169
Phone (803) 739-3491

3314 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 791-3494

145 Sunset Ct
Ste 100201
West Columbia, SC 29169
Phone (803) 739-3550

Interoperability endpoints

  • Direct secure messaging: dlyle14722@direct.lexmed.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1154339331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 POWELL DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729203",
            "telephone_number": "803-957-8400",
            "fax_number": "803-957-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Sunset Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291692429",
            "country_code": "US",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117821",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlyle14722@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "122 Powell Dr",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290729203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.