Active NPI
Timothy Lyons, MD
- Family Medicine Physician
- Jerseyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036116621
- Practice address
- 390 Maple Summit Rd
Jerseyville, IL 62052-2000 - Phone
- (618) 498-2101
- Fax
- (618) 498-8153
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036116621 | IL | Primary |
Addresses
Primary practice location
390 Maple Summit Rd
Jerseyville, IL 62052-2000
Mailing address
390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-7518
Other practice location 1
414 S State St
Roodhouse, IL 62082-1544
Phone (217) 589-4383
Other practice location 2
2 Myrtle Lane
Hardin, IL 62047
Phone (618) 576-9407
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlyons@jch.cernerdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | tlyons@jch.cernerdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | tlyons@jch.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Myrtle
Hardin, IL 62047-1002
Phone (618) 576-9407
270 Maple Summit Rd
Jerseyville, IL 62052-2004
Phone (618) 498-7108
390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-2101
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
414 S State St
Roodhouse, IL 62082-1544
Phone (217) 589-4383
Hospital & facility affiliations
- Calhoun County Health Department
- BJC Hospice
- Jersey Community Hospital
- Missouri Baptist Medical Center
- Alton Memorial Hospital
- Thomas H Boyd Memorial Hospital
- Barnes Jewish Hospital
- Evercare of Calhoun
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116621 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Family Medicine | Current | Accepting new patients |
| Jersey Community Hospital District | Family Medicine | Current | Accepting new patients |
| Jersey Community Hospital | Past | Accepting new patients | |
| Jersey Community Hospital | Family Medicine | Past | Accepting new patients |
Locations
103 McCausland St
Carlinville, IL 62626
Phone (217) 854-2623
2 Myrtle
Hardin, IL 62047
Phone (618) 498-7383
390 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-2101
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
414 S State St
Roodhouse, IL 62082
Phone (217) 589-4383
Organizations & group practices 5
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.
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Family Medicine Physician
- Jerseyville, IL
- NPI 1134163827
-
- Rural Health Clinic/Center
- Roodhouse, IL
- NPI 1770988735
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- Community Based Hospice Care Agency
- Glen Carbon, IL
- NPI 1316252463
-
- Skilled Nursing Facility
- Hardin, IL
- NPI 1033285994
Nursing home
-
- Home Health Agency
- Hardin, IL
- NPI 1649261587
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1164636825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MAPLE SUMMIT RD",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522000",
"telephone_number": "618-498-7518",
"fax_number": "618-498-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAPLE SUMMIT RD",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522000",
"telephone_number": "618-498-2101",
"fax_number": "618-498-8153"
}
],
"practiceLocations": [
{
"address_1": "414 S State St",
"address_purpose": "LOCATION",
"city": "Roodhouse",
"state": "IL",
"postal_code": "620821544",
"country_code": "US",
"telephone_number": "217-589-4383",
"fax_number": "217-589-4409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Myrtle Lane",
"address_purpose": "LOCATION",
"city": "Hardin",
"state": "IL",
"postal_code": "62047",
"country_code": "US",
"telephone_number": "618-576-9407",
"fax_number": "618-576-2260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036116621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlyons@jch.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "HIE JERSEY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Myrtle Lane",
"city": "Hardin",
"state": "IL",
"country_code": "US",
"postal_code": "62047",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlyons@jch.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "HIE JERSEY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "390 Maple Summit Rd",
"city": "Jerseyville",
"state": "IL",
"country_code": "US",
"postal_code": "620522000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlyons@jch.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "HIE JERSEY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "414 S State St",
"city": "Roodhouse",
"state": "IL",
"country_code": "US",
"postal_code": "620821544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jerseyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.