NPIMap

Individual provider Active NPI

Benjamin P Lyon, M.D.

  • Internal Medicine Physician
  • Georgetown, KY
National Provider Identifier
1669471645
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31384 Issued in KY
Practice address
200 Bevins LN Ste a
Georgetown, KY 40324-8532
Phone
(502) 863-0722
Fax
(502) 863-0731
NPI assigned
Jul 20, 2005
Last updated
Sep 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31384 KY Primary

Addresses

Primary practice location

200 Bevins LN Ste a
Georgetown, KY 40324-8532

Mailing address

200 Bevins LN Ste a
Georgetown, KY 40324-8532
Phone (502) 863-0722

Other identifiers 1

IdentifierTypeStateIssuer
64313844MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000374 KY Practitioner - Internal Medicine 6800078734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Bevins LN
Suite a
Georgetown, KY 40324-8532
Phone (502) 863-0722

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew C Birdwhistell DO LLC Internal Medicine Current Accepting new patients
Allen T Griffin II MD LLC Internal Medicine Current Accepting new patients
Robert C. Culbertson, M.D., P.S.C. Internal Medicine Current Accepting new patients
Benjamin P. Lyon, M.D., LLC Internal Medicine CurrentSince Mar 4, 2011 Accepting new patients
Anthony Lewis Martin, D.O. PLLC Internal Medicine Current Accepting new patients

Locations

1138 Lexington Rd
Ste 290
Georgetown, KY 40324
Phone (502) 542-9118

200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722

Interoperability endpoints

  • Direct secure messaging: blyon@benjaminlyon.qrsdm.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1669471645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248532",
            "telephone_number": "502-863-0722",
            "fax_number": "502-863-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248532",
            "telephone_number": "502-863-0722",
            "fax_number": "502-863-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64313844",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.