Active NPI
John William Tyson, MD
- Surgery Physician
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C1-0024755
- Practice address
- 33672 Bayview Medical Dr FL 1
Lewes, DE 19958-1687 - Phone
- (302) 703-3630
- Fax
- (302) 703-3637
- NPI assigned
- Sep 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME80209 | FL | |
| Surgery Physician | 208600000X | C1-0024755 | DE | Primary |
Addresses
Primary practice location
33672 Bayview Medical Dr FL 1
Lewes, DE 19958-1687
Mailing address
1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499
Other practice location 1
4012 N 9th Ave
Pensacola, FL 32503-2824
Phone (850) 444-4777
Other practice location 2
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 703-3630
Other practice location 3
19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 703-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059270300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- General Surgery
- Education
- Pennsylvania State University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
33672 Bayview Medical Dr
Suite 1
Lewes, DE 19958-1687
Phone (833) 629-0820
Hospital & facility affiliations
- Beebe Hospital Home Health
- Beebe Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80 of 100
- Quality
- 62.88
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 19 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0024755 | DE | MD | Surgery Physician |
| ME80209 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware-Stockley | Current | Accepting new patients | |
| Beebe Medical Center, Inc. | Past | Accepting new patients | |
| Holzer Clinic, LLC | Past | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
19161 Healthy Way
Rehoboth Beach, DE 19971
Phone (302) 703-3630
Interoperability endpoints
- jtyson23859@beebehealth.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Intellectual Disabilities Intermediate Care Facility
- Georgetown, DE
- NPI 1962557561
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1649265117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581675",
"telephone_number": "302-645-3499",
"fax_number": "302-644-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33672 BAYVIEW MEDICAL DR FL 1",
"city": "LEWES",
"state": "DE",
"postal_code": "199581687",
"telephone_number": "302-703-3630",
"fax_number": "302-703-3637"
}
],
"practiceLocations": [
{
"address_1": "4012 N 9th Ave",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325032824",
"country_code": "US",
"telephone_number": "850-444-4777",
"fax_number": "850-434-3387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "424 Savannah Rd",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199581462",
"country_code": "US",
"telephone_number": "302-703-3630",
"fax_number": "302-645-3637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19161 Healthy Way",
"address_purpose": "LOCATION",
"city": "Rehoboth Beach",
"state": "DE",
"postal_code": "199714491",
"country_code": "US",
"telephone_number": "302-703-3630",
"fax_number": "302-703-3637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYSON",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME80209",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C1-0024755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059270300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.