Active NPI 1760777957 Individual Practitioner Male Practitioner

Dr. Timothy David Lyon , MD

Urology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Lyon, MD is a certified Urology practicing in Jacksonville, FL. With approximately 15 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 2011, Dr. Lyon delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Lyon is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, injection, docetaxel, 1 mg, injection, gemcitabine hydrochloride, not otherwise specified, 200 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -11.4 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

64 Specialists

Practicing in Jacksonville, FL (1082 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lyon (15 Years) 15 Yrs

Jacksonville Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	11,351	39	$17.89	$2.85
J9171 Injection, docetaxel, 1 mg	3,760	26	$9.31	$0.87
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	960	35	$42.24	$3.38
51720 Instillation of anti-cancer drug into bladder	415	75	$1177.16	$85.26
52000 Diagnostic exam of bladder and urethra using an endoscope	369	242	$1051.64	$224.73
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$312.00	$87.59
51798 Ultrasound measurement of bladder capacity after voiding	91	82	$116.00	$10.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$743.00	$161.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	64	$473.00	$121.66
J1580 Injection, garamycin, gentamicin, up to 80 mg	60	50	$51.08	$2.45
74420 Imaging of urinary tract	52	42	$587.00	$22.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	31	$1949.41	$109.76
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	36	35	$2161.37	$268.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$851.00	$216.13
52354 Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope	23	17	$3549.28	$411.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$474.00	$109.05
51741 Electronic assessment of bladder emptying	21	21	$380.00	$13.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$637.00	$176.17
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	20	20	$3507.01	$296.74
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	19	18	$1699.49	$242.49
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	16	16	$8534.38	$963.38
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$1392.73	$289.47
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$258.00	$87.36
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	11	11	$2123.53	$219.92
51999 Bladder procedure using an endoscope	11	11	$23376.64	$2029.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	9,100	33	$17.48	$2.80
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	340	13	$44.18	$3.55
51720 Instillation of anti-cancer drug into bladder	246	45	$1103.00	$86.59
52000 Diagnostic exam of bladder and urethra using an endoscope	237	150	$1000.49	$233.04
99213 Established patient office or other outpatient visit, typically 15 minutes	89	66	$296.00	$89.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$707.00	$166.26
51798 Ultrasound measurement of bladder capacity after voiding	48	41	$110.00	$10.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$456.00	$112.48
J1580 Injection, garamycin, gentamicin, up to 80 mg	42	39	$51.33	$2.81
74420 Imaging of urinary tract	41	38	$615.00	$24.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$450.00	$127.31
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	34	30	$2035.88	$274.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	29	$1922.94	$104.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$891.00	$218.35
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$247.00	$89.90
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	22	22	$1667.94	$226.71
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$1295.02	$306.55
52354 Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope	16	12	$3202.54	$423.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$604.00	$172.94
51999 Bladder procedure using an endoscope	12	12	$18564.20	$1683.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	9,900	33	$17.57	$2.81
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	400	13	$48.67	$3.81
51720 Instillation of anti-cancer drug into bladder	261	45	$1103.00	$87.40
52000 Diagnostic exam of bladder and urethra using an endoscope	185	122	$1004.00	$242.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	72	63	$46.00	$22.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$707.00	$168.56
74420 Imaging of urinary tract	46	42	$615.00	$24.81
J1580 Injection, garamycin, gentamicin, up to 80 mg	42	39	$45.52	$1.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$450.00	$125.73
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$296.00	$88.93
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	31	27	$1773.87	$279.08
J3260 Injection, tobramycin sulfate, up to 80 mg	28	25	$39.96	$2.32
51798 Ultrasound measurement of bladder capacity after voiding	27	24	$110.00	$10.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	22	$1967.45	$105.49
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	24	24	$4229.41	$385.60
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	21	21	$10502.30	$1411.75
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	16	$3868.44	$175.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$891.00	$222.65
51999 Bladder procedure using an endoscope	16	16	$18238.06	$1640.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	16	$102.00	$14.13
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$1407.00	$323.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$604.00	$180.67
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$1644.88	$241.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	8,250	30	$17.53	$2.84
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	445	14	$47.68	$3.94
51720 Instillation of anti-cancer drug into bladder	231	37	$93.48	$89.67
J1580 Injection, garamycin, gentamicin, up to 80 mg	176	113	$39.56	$1.82
52000 Diagnostic exam of bladder and urethra using an endoscope	152	88	$232.60	$234.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	107	90	$22.85	$21.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$178.52	$167.70
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$91.32	$92.02
74420 Imaging of urinary tract	48	42	$61.79	$24.27
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	31	29	$251.96	$233.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$129.70	$130.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	26	$13.97	$14.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	21	$327.13	$93.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$223.49	$225.24
51798 Ultrasound measurement of bladder capacity after voiding	24	22	$18.33	$10.08
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	18	18	$666.60	$369.57
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	18	17	$299.53	$275.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$204.85	$177.17
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	17	13	$209.89	$181.79
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$380.88	$297.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$137.11	$108.34
51999 Bladder procedure using an endoscope	13	13	$13773.87	$1635.01
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$1584.18	$1360.47
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	11	$422.52	$417.45
50820 Connection of urinary duct (ureter) to small bowel with creation of opening	11	11	$1348.68	$1357.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	512	12	$48.50	$3.92
51720 Instillation of anti-cancer drug into bladder	120	20	$84.41	$85.30
J1580 Injection, garamycin, gentamicin, up to 80 mg	116	79	$43.82	$1.91
52000 Diagnostic exam of bladder and urethra using an endoscope	99	74	$225.82	$209.31
99213 Established patient office or other outpatient visit, typically 15 minutes	76	59	$80.74	$75.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	50	$23.49	$22.69
74420 Imaging of urinary tract	57	50	$51.07	$25.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$194.91	$161.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	41	$18.05	$13.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	37	$109.14	$109.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$117.43	$107.31
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	30	25	$403.49	$275.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$413.06	$260.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	18	$254.98	$103.23
51798 Ultrasound measurement of bladder capacity after voiding	18	17	$15.56	$10.17
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	17	14	$259.33	$246.49
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	16	16	$701.58	$351.93
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	14	$216.61	$196.28
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$1607.11	$1420.01
51999 Bladder procedure using an endoscope	12	12	$17965.83	$1500.48
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	11	$421.28	$420.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$198.39	$151.02
52000 Diagnostic exam of bladder and urethra using an endoscope	55	53	$214.09	$180.15
J1580 Injection, garamycin, gentamicin, up to 80 mg	35	32	$46.75	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$76.61	$71.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	23	$17.99	$15.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$118.17	$102.37
74420 Imaging of urinary tract	21	20	$51.92	$24.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$259.23	$80.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$213.20	$199.12

Medical Specialties & State Licenses

CMS Verified: 2020-08-31

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME138908

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MN 61664

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Urology (License #ME138908 in FL)

📍

Updated Practice Location June 28, 2019

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address June 28, 2019

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2019

Urology (License #61664 in MN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Urology (License #MT200461 in PA)

✅

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address April 27, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤

Provider Name / Credentials Updated April 27, 2017

Recorded as TIMOTHY LYON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Urology (License #61664 in MN)

✅

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2011

Registered at 3471 5TH AVE, SUITE 700, PITTSBURGH, PA 152133215 (Tel: 4126924100)

📍

Updated Business Mailing Address June 15, 2011

Registered at 3471 5TH AVE, SUITE 700, PITTSBURGH, PA 152133215 (Tel: 4126924100)

👤

Provider Name / Credentials Updated June 15, 2011

Recorded as TIMOTHY LYON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Urology (License #MT200461 in PA)

🟢

Initial NPI Registration & Enumeration June 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760777957

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2011

Last Update: August 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.