TIMOTHY LYONS (MD) – Family Medicine Physician, NPI 1164636825

TIMOTHY LYONS (MD) is a healthcare provider. based in Hardin, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036116621 (IL). The NPI Number for TIMOTHY LYONS (MD) is 1164636825

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY LYONS (MD)
NPI
1164636825
Phone
(618) 576-9407
Address
2 MYRTLE LANE
Enumeration Date
10 May 2007
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2175894383
Graduation Year
2004 (22 years ago)
PAC ID
2668566613
Group Practice PAC ID
4587650445
Professional Enrollment ID
I20070920000776
Address ID
IL620821544RO414XXSTXX400

Contacts

Secure Messaging
tim.lyons@jchmedical.directbygreenway.com
Secure Messaging
tlyons@jch.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

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Provider Addresses for TIMOTHY LYONS (MD)

  • Myrtle Lane, Hardin, Calhoun County, Illinois, 62047, United States

    HARDIN, IL 62047

    Phone: (618) 576-9407

    Fax: (618) 576-2260

    Type: Location

  • 390 MAPLE SUMMIT RD

    JERSEYVILLE, IL 620522000

    Phone: (618) 498-2101

    Fax: (618) 498-8153

    Type: Location

  • 390, Maple Summit Road, Jerseyville, Jersey County, Illinois, 62052, United States

    JERSEYVILLE, IL 620522000

    Phone: (618) 498-7518

    Fax: (618) 498-3052

    Type: Mailing

  • 2 Myrtle Lane

    Hardin, IL 62047

    Phone: (618) 576-9407

    Fax: (618) 576-2260

    Type: Location

  • 414 S State St

    Roodhouse, IL 620821544

    Phone: (217) 589-4383

    Fax: (217) 589-4409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 195 Open Payments records for all available years, with a total value of $3,461.

Total Amount is formed as General ($3,461) + Research ($0) + Ownership ($0) = $3,461.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Lilly USA, LLC ($588).

Total Amount

$3,461

General + Research + Ownership

Payments

195

Total payment records

General Amount

$3,461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2007-09-20

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
I20070920000776IFamily PracticeILTBD

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
81003Automated urinalysis test12889$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza6559$0
20610Aspiration and/or injection of fluid from large joint3719$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3130$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2018$0
View full utilization report →

Insurance plans in this area (ZIP 62047)

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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: 4587650445View full group profile
NameSpecialtyState
-IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
-NY
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)MO
-NC
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What identifier follows TIMOTHY LYONS (MD) across health systems?
The NPI 1164636825 uniquely identifies TIMOTHY LYONS (MD) in U.S. healthcare data.
Does the public listing show TIMOTHY LYONS (MD) as active?
TIMOTHY LYONS (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits TIMOTHY LYONS (MD)?
NPPES ties TIMOTHY LYONS (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIMOTHY LYONS (MD)?
TIMOTHY LYONS (MD) is associated with Hardin, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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