DR. DOUGLAS LYSSY (MD/MBA) – Emergency Medicine Physician, NPI 1659515617
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,258 EMERGENCY MEDICINE in FL
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Provider Addresses for DR. DOUGLAS LYSSY (MD/MBA)
Blake Medical Center, 2020, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States
BRADENTON, FL 342094604
Phone: (941) 792-6611
Type: Location
5930, Gulf of Mexico Drive, Whitney Beach, Longboat Key, Manatee County, Florida, 34228, United States
LONGBOAT KEY, FL 342281704
Phone: (203) 804-8894
Type: Mailing
1001 PENNSYLVANIA AVE
OTTUMWA, IA 525016427
Phone: (641) 984-2341
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: 2021-08-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120808000672 | I | Emergency Medicine | FL | TBD |
| I20190716000708 | I | Emergency Medicine | IA | TBD |
| I20210806000890 | I | Emergency Medicine | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 390 | 357 | $0 |
| 99291 | Critical care, first 30-74 minutes | 122 | 118 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 110 | 108 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 26 | 24 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 19 | 19 | $0 |
Insurance plans in this area (ZIP 34209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Emergency Medicine | IA | |
| Nurse Practitioner | IA | |
| Emergency Medicine | IA | |
| Emergency Medicine | NY | |
| Nurse Practitioner | SD | |
| Emergency Medicine | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA |
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