DR. NASTASSJA BEDFORD-LYON (MD) – Student in an Organized Health Care Education/Training Program, NPI 1235627225

DR. NASTASSJA BEDFORD-LYON (MD) is a healthcare provider. based in Clinton township, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35.137505 (OH). The NPI Number for DR. NASTASSJA BEDFORD-LYON (MD) is 1235627225

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. NASTASSJA BEDFORD-LYON (MD)
NPI
1235627225
Phone
(586) 286-8720
Address
43151 Dalcoma Dr Ste 2
Enumeration Date
25 April 2018
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4193835000
Graduation Year
2018 (8 years ago)
PAC ID
0244595353
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20250812000767
Address ID
OH436148008TO3125XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. NASTASSJA BEDFORD-LYON (MD)

  • 43151 Dalcoma Dr Ste 2

    Clinton Township, MI 480386306

    Phone: (586) 286-8720

    Fax: (586) 286-8723

    Type: Location

  • 3000 ARLINGTON AVE STOP 1108

    TOLEDO, OH 436142595

    Phone: (419) 383-5322

    Type: Mailing

  • 3125 TRANSVERSE DR STE F

    TOLEDO, OH 436148008

    Phone: (419) 383-6200

    Fax: (419) 383-3244

    Type: Location

  • 3000 Arlington Ave

    Toledo, OH 436142595

    Phone: (419) 383-4000

    Type: Location

  • 2950 Keewahdin Rd

    Fort Gratiot, MI 480593526

    Phone: (810) 455-1600

    Fax: (810) 455-1620

    Type: Location

  • Moross Road, Detroit, Wayne County, Michigan, 48205, United States

    DETROIT, MI 48236

    Phone: (313) 343-7784

    Type: Location

  • 188, North Harvey Street, Plymouth, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481701245

    Phone: (310) 689-9748

    Type: Mailing

  • 18100 OAKWOOD BLVD STE 300

    DEARBORN, MI 481244085

    Phone: (313) 240-4900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($387).

Total Amount

$1,020

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240802002708IDermatologyMITBD
I20250812000767IDermatologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48038)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

Where can patients find DR. NASTASSJA BEDFORD-LYON (MD)'s NPI?
You can confirm DR. NASTASSJA BEDFORD-LYON (MD) with NPI 1235627225; it appears in the national provider directory.
Is DR. NASTASSJA BEDFORD-LYON (MD) currently active in the NPI registry?
CMS-published data lists DR. NASTASSJA BEDFORD-LYON (MD) as an active registrant.
What does DR. NASTASSJA BEDFORD-LYON (MD) treat or focus on?
Patients typically see DR. NASTASSJA BEDFORD-LYON (MD) under the specialty Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NASTASSJA BEDFORD-LYON (MD)?
The page summarizes Clinton Township, Michigan for DR. NASTASSJA BEDFORD-LYON (MD); expand the address list for detail.
What if Clinton Township, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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