SYDNEY LYNCH – Surgical Physician Assistant, NPI 1003404864

SYDNEY LYNCH is a healthcare provider. based in Springfield, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085008873 (IL). The NPI Number for SYDNEY LYNCH is 1003404864

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY LYNCH
NPI
1003404864
Phone
(217) 528-7541
Address
PO BOX 19248
Enumeration Date
7 January 2021
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175224300
Graduation Year
2021 (5 years ago)
PAC ID
4385023175
Group Practice PAC ID
0547166076
Professional Enrollment ID
I20220624001920
Address ID
IL627035909SP775XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,067 PHYSICIAN ASSISTANT in IL

Provider Addresses for SYDNEY LYNCH

  • PO BOX 19248

    SPRINGFIELD, IL 627949248

    Phone: (217) 528-7541

    Type: Mailing

  • 2901 GREENBRIAR DR

    SPRINGFIELD, IL 627046425

    Phone: (217) 528-7541

    Type: Location

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 $1,925.

Total Amount is formed as General ($1,925) + Research ($0) + Ownership ($0) = $1,925.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,925).

Total Amount

$1,925

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$1,925
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: 2022-06-24

PECOS data refreshed: 2026-06-15

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
I20220624001920IPhysician AssistantILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5753$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
12031Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less2725$0
99213Established patient office or other outpatient visit, 20-29 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 0547166076View full group profile

Reviews

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Frequently asked questions

Does SYDNEY LYNCH share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SYDNEY LYNCH uses 1003404864.
Can I rely on SYDNEY LYNCH being an active provider?
As of the registry snapshot, SYDNEY LYNCH is marked active.
What taxonomy line describes SYDNEY LYNCH?
For research purposes, treat SYDNEY LYNCH as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is SYDNEY LYNCH based?
SYDNEY LYNCH is tied to Springfield, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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