KENT J. LYON (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1063476364

KENT J. LYON (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 83749 (GA). The NPI Number for KENT J. LYON (MD) is 1063476364

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
KENT J. LYON (MD)
NPI
1063476364
Phone
(386) 238-3200
Address
350 N Clyde Morris Blvd
Enumeration Date
13 April 2006
Last Update Date
22 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7702843150458
Graduation Year
1978 (48 years ago)
PAC ID
3971550351
Group Practice PAC ID
4688812001
Professional Enrollment ID
I20191031003126
Address ID
GA300464311LA601XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

605 ENDOCRINOLOGY in FL

Provider Addresses for KENT J. LYON (MD)

  • 350 N Clyde Morris Blvd

    Daytona Beach, FL 321142733

    Phone: (386) 238-3200

    Fax: (386) 238-3216

    Type: Location

  • 700 Sunset Dr Ste 601

    Athens, GA 306067720

    Phone: (706) 549-4155

    Fax: (706) 546-0036

    Type: Location

  • 601, Sunset Drive, Broadacres Homes, Athens, Athens-Clarke County, Georgia, 30606, United States

    ATHENS, GA 306067720

    Phone: (706) 549-4155

    Fax: (706) 546-0036

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $346.

Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($162).

Total Amount

$346

General + Research + Ownership

Payments

8

Total payment records

General Amount

$346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-31

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
I20191031003126IEndocrinologyGATBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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
99213Established patient office or other outpatient visit, 20-29 minutes9871$0
99203New patient office or other outpatient visit, 30-44 minutes5151$0
82962Blood glucose (sugar) test performed by hand-held instrument4934$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
83036Hemoglobin a1c level3526$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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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: 4688812001View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineGA
E N D O C R I N O L O G YGA
R H E U M A T O L O G YOH
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA
E N D O C R I N O L O G YGA
R H E U M A T O L O G YFL
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA
R H E U M A T O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to KENT J. LYON (MD)?
The federal identifier for KENT J. LYON (MD) is NPI 1063476364.
Is KENT J. LYON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KENT J. LYON (MD)?
The page reflects Endocrinology, Diabetes & Metabolism Physician for KENT J. LYON (MD). Clinical services aligned with this taxonomy classification.
Does KENT J. LYON (MD) practice in Florida?
You will see Daytona Beach, Florida on file for KENT J. LYON (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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