DANIELLE MARIE LYSTER (PA-C) – Physician Assistant, NPI 1174880090
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
Provider Addresses for DANIELLE MARIE LYSTER (PA-C)
70 Upper Main St
Essex Junction, VT 054523168
Phone: (802) 871-5423
Type: Location
75 Beekman St
Plattsburgh, NY 129011438
Phone: (518) 562-7371
Type: Location
664 IRISH SETTLEMENT RD
UNDERHILL, VT 054899780
Phone: (973) 479-0749
Type: Mailing
70 UPPER MAIN ST
ESSEX JUNCTION, VT 054523168
Phone: (802) 871-5423
Type: Location
17 DOON RD
UNDERHILL, VT 054899732
Phone: (028) 922-5150
Type: Mailing
133 FAIRFIELD ST
SAINT ALBANS, VT 054781726
Phone: (802) 524-8915
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 $1,231.
Total Amount is formed as General ($1,231) + Research ($0) + Ownership ($0) = $1,231.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Prodigy Surgical Distribution, Inc. ($642).
Total Amount
$1,231
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Prodigy Surgical Distribution, Inc. | $642 |
| Arthrex, Inc. | $589 |
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: 2022-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220617001721 | I | Physician Assistant | VT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 95 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 107 | 63 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 42 | 28 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 15 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 05452)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | VT | |
| Emergency Medicine | VT | |
| Physician Assistant | VT | |
| - | VT | |
| - | VT | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VT | |
| Physician Assistant | MA | |
| Emergency Medicine | NY | |
| Physician Assistant | VT | |
| - | VT |
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