DR. JACQUELINE MARIE LYON (M.D.) – Radiation Oncology Physician, NPI 1689676496

DR. JACQUELINE MARIE LYON (M.D.) is a healthcare provider. based in Hartford, Connecticut. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 13975 (NH). The NPI Number for DR. JACQUELINE MARIE LYON (M.D.) is 1689676496

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE MARIE LYON (M.D.)
NPI
1689676496
Phone
(860) 545-2803
Address
80 Seymour St
Enumeration Date
11 August 2005
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6033544000
Graduation Year
1980 (46 years ago)
PAC ID
2264481902
Group Practice PAC ID
4486561164
Professional Enrollment ID
I20160518000898
Address ID
NH034311719KE590XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

100 RADIATION ONCOLOGY in CT

Provider Addresses for DR. JACQUELINE MARIE LYON (M.D.)

  • 80 Seymour St

    Helen and Harry Gray Cancer Center at Hartford Hospital

    Hartford, CT 061028000

    Phone: (860) 545-2803

    Type: Location

  • Stratford Park, Bloomfield, Hartford County, Connecticut, 06117, United States

    BLOOMFIELD, CT 060022143

    Phone: (860) 242-3308

    Type: Mailing

  • 580 COURT ST

    KEENE, NH 034311718

    Phone: (603) 354-5400

    Type: Location

  • Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States

    HELEN AND HARRY GRAY CANCER CENTER AT HARTFORD HOSPITAL

    HARTFORD, CT 061028000

    Phone: (860) 545-2803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518000898IRadiation OncologyNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy14015$0
77014Ct guidance for insertion of radiation therapy fields10025$0
77427Radiation treatment management, 5 treatment sessions3424$0
View full utilization report →

Insurance plans in this area (ZIP 06102)

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Provider's Procedures

DR. JACQUELINE MARIE LYON (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYCT77300Calculation of radiation therapy dose6918
RADIATION ONCOLOGYCT77427Radiation treatment management, 5 treatments9026

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486561164View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JACQUELINE MARIE LYON (M.D.)'s NPI?
Yes. DR. JACQUELINE MARIE LYON (M.D.) is listed with NPI 1689676496 in the public NPI dataset.
Is DR. JACQUELINE MARIE LYON (M.D.) listed as active for patients and plans?
The listing shows DR. JACQUELINE MARIE LYON (M.D.) as active in the NPI system.
What healthcare role does DR. JACQUELINE MARIE LYON (M.D.) hold?
Scheduling teams often label DR. JACQUELINE MARIE LYON (M.D.) under Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JACQUELINE MARIE LYON (M.D.) serve?
DR. JACQUELINE MARIE LYON (M.D.)'s listing highlights Hartford, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.