AMANDA J. LYON (MD) – Student in an Organized Health Care Education/Training Program, NPI 1124465083

AMANDA J. LYON (MD) is a healthcare provider. based in Columbus, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 4301103234 (MI). The NPI Number for AMANDA J. LYON (MD) is 1124465083

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA J. LYON (MD)
NPI
1124465083
Phone
(614) 292-0367
Address
473 W 12th Ave
Enumeration Date
31 May 2013
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7659324111
Graduation Year
2013 (13 years ago)
PAC ID
2062712904
Group Practice PAC ID
7012802754
Professional Enrollment ID
I20190717000415
Address ID
IN461731116RU1300XSTXX400

Contacts

Secure Messaging
amanda.lyon.1@7598.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

Provider Addresses for AMANDA J. LYON (MD)

  • 473 W 12th Ave

    Columbus, OH 432101252

    Phone: (614) 292-0367

    Type: Location

  • 473 W 12TH AVE

    COLUMBUS, OH 432101252

    Phone: (614) 292-0367

    Type: Mailing

  • 10590 N MERIDIAN ST

    CARMEL, IN 462901028

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Amgen Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$25
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: 2019-07-17

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
I20190717000415ICardiovascular Disease (Cardiology)INTBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function445441$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report341288$0
99214Established patient office or other outpatient visit, 30-39 minutes290214$0
99213Established patient office or other outpatient visit, 20-29 minutes227201$0
93325Ultrasound of heart with color-depicted blood flow, rate and valve function169167$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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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: 7012802754View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIN
Cardiovascular Disease (Cardiology), Internal MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Internal MedicineIN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Internal MedicineIL

Reviews

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Frequently asked questions

Does AMANDA J. LYON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMANDA J. LYON (MD) uses 1124465083.
Is AMANDA J. LYON (MD) still practicing?
AMANDA J. LYON (MD) is currently listed as active in the public NPI registry.
What is AMANDA J. LYON (MD)'s primary classification?
Student in an Organized Health Care Education/Training Program is the headline specialty for AMANDA J. LYON (MD) here. Clinical services aligned with this taxonomy classification.
Does AMANDA J. LYON (MD) list a practice location?
Patients near Columbus, Ohio may find AMANDA J. LYON (MD) in results; validate coverage separately.
Is the information about AMANDA J. LYON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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