NPIMap

Individual provider Active NPI

Lyle F Anderson Jr., MD

  • Surgery Physician
  • Carlisle, PA
National Provider Identifier
1992776744
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD021012E Issued in PA
Practice address
19 Sprint Dr Ste 3
Carlisle, PA 17015-7002
Phone
(717) 713-2100
Fax
(717) 713-2101
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 13

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Regional Physicians 158 clinicians
Pinnacle Health Medical Services 1,025 clinicians

Practice addresses (Care Compare)

1600 6TH Ave
York, PA 17403-2626
Phone (717) 815-2562

2025 Technology Pkwy
Mechanicsburg, PA 17050-9400

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

3130 Grandview Rd
Hanover, PA 17331-9134

366 Alexander Spring Rd
Suite 2
Carlisle, PA 17015-9214
Phone (717) 782-4785

409 S 2ND St
Harrisburg, PA 17104-1612

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 652-6605

Hospital & facility affiliations

  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue543
Removal of skin lesions1-10

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100729000267 PA Practitioner - General Surgery 3476686395 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD021012EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Surgery CurrentSince Mar 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 15, 2010 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 15, 2010 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Ste 1
Carlisle, PA 17015
Phone (717) 243-1900

366 Alexander Spring Rd
Ste 2
Carlisle, PA 17015
Phone (717) 782-4785

19 Sprint Dr
Ste 3
Carlisle, PA 17015
Phone (717) 713-2100

3130 Grandview Rd
Ste 1
Hanover, PA 17331
Phone (717) 316-6999

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4310 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-7520

4310 Londonderry Rd
Ste 1A
Harrisburg, PA 17109
Phone (717) 671-2050

2626 N 3rd St
Ste 2B
Harrisburg, PA 17110
Phone (717) 231-8960

2025 Technology Pkwy
Ste G07
Mechanicsburg, PA 17050
Phone (717) 791-2440

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

1600 6th Ave
Ste 105
York, PA 17403
Phone (717) 815-2562

Interoperability endpoints

  • Direct secure messaging: landerson19235@upmc.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD021012E PA Primary

Addresses

NPPES NPI Registry

Primary practice location

19 Sprint Dr Ste 3
Carlisle, PA 17015-7002

Mailing address

409 South Front Street
Suite 2F
Harrisburg, PA 17104-1612

Other practice location 1

2025 Technology Pkwy Ste G07
Mechanicsburg, PA 17050-9400
Phone (717) 791-2440

Other practice location 2

366 Alexander Spring Rd Ste 2
Carlisle, PA 17015-9214
Phone (717) 243-1900

Other practice location 3

3130 Grandview Rd Ste 1
Hanover, PA 17331-9134
Phone (717) 316-6999

Other practice location 4

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 671-2050

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
001033169MedicaidPA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address landerson7091@phsdirect.pinnaclehealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2021.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1992776744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH FRONT STREET",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPRINT DR STE 3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157002",
            "telephone_number": "717-713-2100",
            "fax_number": "717-713-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Technology Pkwy Ste G07",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509400",
            "country_code": "US",
            "telephone_number": "717-791-2440",
            "fax_number": "717-791-2441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 Alexander Spring Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159214",
            "country_code": "US",
            "telephone_number": "717-243-1900",
            "fax_number": "717-243-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Grandview Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173319134",
            "country_code": "US",
            "telephone_number": "717-316-6999",
            "fax_number": "717-316-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095300",
            "country_code": "US",
            "telephone_number": "717-671-2050",
            "fax_number": "717-671-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LYLE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD021012E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001033169",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "landerson7091@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "19 Sprint Dr Ste 3",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170157002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.