TRACI M LYONS (PA-C) – Surgical Physician Assistant, NPI 1720416985
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for TRACI M LYONS (PA-C)
940 N MARR RD
SUITE C
COLUMBUS, IN 472012609
Phone: (812) 376-9353
Fax: (812) 376-3757
Type: Location
14535A HAZEL DELL PKWY
CARMEL, IN 460339401
Phone: (317) 770-3777
Fax: (317) 705-4391
Type: Location
16086 TENOR WAY
NOBLESVILLE, IN 460609287
Phone: (317) 435-3147
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($76).
Total Amount
$226
General + Research + Ownership
Payments
12
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-01-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140127001189 | I | Physician Assistant | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN | |
| - | OH | |
| Emergency Medicine | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | PA | |
| Emergency Medicine | TN | |
| Nurse Practitioner | FL |
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