Active NPI
Brian Andrew Lyle, MD
- Surgery Physician
- Viroqua, WI
National Provider Identifier
1922364371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 61560
- Practice address
- 407 S Main St
Viroqua, WI 54665-2100 - Phone
- (608) 637-3174
- Fax
- (608) 638-5038
- NPI assigned
- Apr 10, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 61560 | WI | Primary |
Addresses
Primary practice location
407 S Main St
Viroqua, WI 54665-2100
Mailing address
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- University of Chicago, Pritzker School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 S Hwy 101
Warrenton, OR 97146-9314
Phone (503) 861-6500
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61560 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
727 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- blyle279201@direct.gundersenhealth.org
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922364371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652059",
"telephone_number": "608-637-3174",
"fax_number": "608-638-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652100",
"telephone_number": "608-637-3174",
"fax_number": "608-638-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "BRIAN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "61560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.