Matthew H Lyman, DO

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

34-009682 Issued in OH

Practice address

802 S 200 W
Blanding, UT 84511-3910

Phone

(435) 678-3993

Fax

(435) 678-3992

NPI assigned

Jul 31, 2006

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Orthopedic Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Mountain HospitalGroup PAC ID 0749344661, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zion's Way Home Health Home health agency, St. George, UT, CCN 467243
• Blue Mountain Hospital Hospital, Blanding, UT, CCN 461310

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/
• Direct secure messaging: matthew.lyman.1@16299.direct.athenahealth.com

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.

• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Medicare reassignment Care Compare group NPD
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• San Juan County Hospital

  dba San Juan Clinic

  • Rural Health Clinic/Center
  • Monticello, UT
  • NPI 1659315877

  Family Medicine

  Medicare reassignment NPD
• San Juan County Hospital

  • Critical Access Hospital
  • Monticello, UT
  • NPI 1942251459
  Medicare reassignment NPD
• San Juan County Hospital

  dba San Juan Health

  • Emergency Care Clinic/Center
  • Monticello, UT
  • NPI 1114121100
  NPD
• San Juan County Hospital

  dba Spanish Valley Clinic

  • Rural Health Clinic/Center
  • Spanish Valley, UT
  • NPI 1588978738

  Family Medicine

  NPD
• San Juan County Hospital

  dba Blanding Clinic

  • Rural Health Clinic/Center
  • Blanding, UT
  • NPI 1821045840

  Family Medicine

  NPD (past)

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

• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Care Compare affiliation
• Red Rock Healthcare, Inc.

  dba Zion's Way Home Health

  • Home Health Agency
  • St George, UT
  • NPI 1588930705
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1851307706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993",
            "fax_number": "440-842-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993",
            "fax_number": "435-678-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "293805-8904",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MO",
            "license": "2008005518",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "UT",
            "license": "293805-8904",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "34-009682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963495",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376538",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016802",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dane Phillip Lyman, MD
• Jed Lyman
• Linnae Lyman
• Mark E Lyman, LCSW
• Matthew Lyman
• Michael Lyman
• Michele M Lyman, PA-C
• Robert Stanley Lyman, PA-C
• Thomas Andrews Lyman, LCSW
• Paul Redd Macdonald, D.D.S.

• Adult Reconstructive Orthopaedic Surgery Physician in Blanding, UT
• Providers in Blanding, UT by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.