JENNIFER L LYONS (MD) – Ophthalmology Physician, NPI 1629069026

JENNIFER L LYONS (MD) is a healthcare provider. based in Gresham, Oregon. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD18424 (OR). The NPI Number for JENNIFER L LYONS (MD) is 1629069026

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L LYONS (MD)
NPI
1629069026
Phone
(503) 231-0166
Address
1380 E POWELL BLVD
Enumeration Date
3 November 2005
Last Update Date
10 February 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5039082020
Graduation Year
1992 (34 years ago)
PAC ID
7810928538
Group Practice PAC ID
2365782323
Professional Enrollment ID
I20190318002310
Address ID
OR971384316GE3348XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

343 OPHTHALMOLOGY in OR

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Provider Addresses for JENNIFER L LYONS (MD)

  • 1380, East Powell Boulevard, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970308004

    Phone: (503) 231-0166

    Fax: (503) 231-2720

    Type: Location

  • 1320, Northeast 106th Avenue, Gateway, Hazelwood, Portland, Multnomah County, Oregon, 97220, United States

    PORTLAND, OR 972203966

    Phone: (503) 908-2020

    Type: Mailing

  • 1320 NE 106TH AVE

    PORTLAND, OR 972203966

    Phone: (503) 908-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $286.

Total Amount is formed as General ($286) + Research ($0) + Ownership ($0) = $286.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Alcon Vision LLC ($128).

Total Amount

$286

General + Research + Ownership

Payments

11

Total payment records

General Amount

$286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2005-09-07

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
I20050907000062IOphthalmologyORTBD

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
92014Established patient complete exam of visual system631600$0
92134Imaging of retina295249$0
99213Established patient office or other outpatient visit, 20-29 minutes252194$0
92133Imaging of optic nerve230220$0
92083Exam of visual field with extended testing219208$0
View full utilization report →

Insurance plans in this area (ZIP 97030)

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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: 2365782323View full group profile
NameSpecialtyState
O P T O M E T R YOR

Reviews

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Frequently asked questions

How do payers reference JENNIFER L LYONS (MD)?
For JENNIFER L LYONS (MD), use NPI 1629069026 as the unique 10-digit identifier.
Would JENNIFER L LYONS (MD) appear as active to a payer?
You can treat JENNIFER L LYONS (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER L LYONS (MD)?
JENNIFER L LYONS (MD) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is JENNIFER L LYONS (MD) registered?
Use Gresham, Oregon as the headline location for JENNIFER L LYONS (MD) here.
Can I trust this NPI listing for JENNIFER L LYONS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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