ROBERT STANLEY LYMAN (PA-C) – Physician Assistant, NPI 1154886950

ROBERT STANLEY LYMAN (PA-C) is a healthcare provider. based in Blanding, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11144168-8906 (UT). The NPI Number for ROBERT STANLEY LYMAN (PA-C) is 1154886950

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT STANLEY LYMAN (PA-C)
NPI
1154886950
Phone
(801) 931-7013
Address
802 S 200 W
Enumeration Date
5 February 2019
Last Update Date
4 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012957200
Graduation Year
2018 (8 years ago)
PAC ID
3375886732
Group Practice PAC ID
7113282179
Professional Enrollment ID
I20190528002308
Address ID
UT840413692LA201XXPKWY410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for ROBERT STANLEY LYMAN (PA-C)

  • Blue Mountain Hospital, 802, South 200 West, Blanding, San Juan County, Utah, 84511, United States

    BLANDING, UT 845113910

    Phone: (801) 931-7013

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $2,900.

Total Amount is formed as General ($2,900) + Research ($0) + Ownership ($0) = $2,900.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: ORTHALIGN INC ($2,900).

Total Amount

$2,900

General + Research + Ownership

Payments

3

Total payment records

General Amount

$2,900

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ORTHALIGN INC$2,900
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: 2019-05-28

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
I20190528002308IPhysician AssistantUTTBD

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 84511)

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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: 7113282179View full group profile
NameSpecialtyState
Orthopedic SurgeryWI
Orthopedic SurgeryUT
Physician AssistantCA
Physician AssistantCA
Physician AssistantUT
Nurse PractitionerUT
Orthopedic SurgeryUT
Orthopedic SurgeryUT
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I use this page to confirm ROBERT STANLEY LYMAN (PA-C)'s NPI?
Yes. ROBERT STANLEY LYMAN (PA-C) is listed with NPI 1154886950 in the public NPI dataset.
Does the file indicate ROBERT STANLEY LYMAN (PA-C) is practicing under active NPI?
Directory data currently reports ROBERT STANLEY LYMAN (PA-C) as active.
What is ROBERT STANLEY LYMAN (PA-C)'s specialty?
The listing groups ROBERT STANLEY LYMAN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT STANLEY LYMAN (PA-C)?
ROBERT STANLEY LYMAN (PA-C)'s geographic hint is Blanding, Utah in our summary view.
Why does ROBERT STANLEY LYMAN (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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