Glenn P Lyons, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009469 Issued in NY

Practice address

96 Court St
Plattsburgh, NY 12901-2733

Phone

(518) 562-2369

Fax

(518) 562-2263

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

In Health Family Medicine PCGroup PAC ID 8022269646, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
• The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• In Health Family Medicine PC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1841565686
  Medicare reassignment Care Compare group
• Anita Bodrogi D.O.

  • General Practice Physician
  • Plattsburgh, NY
  • NPI 1699962977
  NPD (past)
• Dr Richard J D'Amico DO PC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1780607085
  NPD (past)

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

• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1013354539
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1215203740
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1588938864
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Oneonta, NY
  • NPI 1649575549
  Care Compare affiliation

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1265629547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012733",
            "telephone_number": "518-562-2369",
            "fax_number": "518-562-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012733",
            "telephone_number": "518-562-2369",
            "fax_number": "518-562-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "GLENN",
        "middle_name": "P",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "009469",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis F Gonzalez, III, MD, PC
• Julie Sona Lumingu, MD
• Sherod M. Luscombe, LCSW
• Richard Frank Lutinski, D.O.
• Karla Lyon, RN
• M Feinberg DMD PC
• Julianne Lisa Macaulay, MD
• Francis Macavoy, CASAC
• Barbara E Macdonald, PT
• Tamela Madden

• Medical Physician Assistant in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.