Active NPI 1811962962 Individual Practitioner Male Practitioner

Dr. Sheldon Neil Lyons , MD

Internal Medicine • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Lyons, MD is a registered healthcare professional specializing in Internal Medicine in Springfield, MA. Practice services are available at 100 WASON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Wason Ave

Springfield, MA 011071179

Telephone 4137886139

Fax 4137371549

Associated Practice Facility / Clinic

🏢 Western New England Renal And Transplant Associates, P.c. Facility NPI 1639160161

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	222	$250.00	$133.39
99443 Telephone medical discussion with physician, 21-30 minutes	155	139	$242.00	$136.08
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$173.00	$95.76
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$164.00	$96.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$121.00	$55.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	754	406	$244.85	$111.91
99443 Telephone medical discussion with physician, 21-30 minutes	224	184	$218.28	$109.71
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	78	72	$34.00	$15.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	39	$121.00	$56.15
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$166.84	$72.96
99496 Transitional care management services for problem of high complexity	22	20	$518.41	$253.11
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$118.71	$68.66
G0008 Administration of influenza virus vaccine	16	16	$27.00	$17.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	12	11	$93.00	$43.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,157	473	$242.00	$113.16
99213 Established patient office or other outpatient visit, typically 15 minutes	104	88	$164.00	$76.67
G0008 Administration of influenza virus vaccine	63	63	$27.00	$17.42
90662 Influenza vaccine split virus, preservative free	55	55	$64.00	$53.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	39	$121.00	$55.71
99496 Transitional care management services for problem of high complexity	35	31	$499.00	$241.66
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	14	$32.00	$15.43
99495 Transitional care management services for problem of at least moderate complexity	18	18	$372.00	$171.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	11	11	$93.00	$43.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,126	430	$242.00	$111.85
99213 Established patient office or other outpatient visit, typically 15 minutes	154	123	$164.00	$76.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	34	$121.00	$56.36
99496 Transitional care management services for problem of high complexity	32	28	$499.00	$243.30
99495 Transitional care management services for problem of at least moderate complexity	20	18	$372.00	$171.84
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$52.00	$17.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,175	433	$255.10	$110.34
99213 Established patient office or other outpatient visit, typically 15 minutes	149	112	$172.05	$75.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	42	18	$97.00	$43.60
99495 Transitional care management services for problem of at least moderate complexity	36	34	$399.50	$169.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$369.80	$168.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	27	$131.16	$55.98
71020 X-ray of chest, 2 views, front and side	29	27	$81.00	$18.05
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$51.29	$17.65
G0009 Administration of pneumococcal vaccine	24	24	$60.00	$26.66
99496 Transitional care management services for problem of high complexity	23	21	$511.52	$238.97
90670 Pneumococcal vaccine for injection into muscle	16	16	$305.00	$178.86

Medical Specialties & State Licenses

CMS Verified: 2020-04-01

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 80506

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30050114 (MA)

Medicaid State Provider ID

003120657 (CT)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Tricia Porter , NP

Nurse Practitioner - Family

NPI 1073913000

Nurse Practitioner

Catherine Moretti , PA-C

Physician Assistant

NPI 1295987808

Physician Assistant (Certified)

Sky Vanderlinde , FNP

Nurse Practitioner - Family

NPI 1497735955

Family Nurse Practitioner

Dr. Ronald Kanagaki , MD

Internal Medicine

NPI 1629040696

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 01, 2020

Registered at 100 WASON AVE, SPRINGFIELD, MA 011071179 (Tel: 4137886139)

📍

Updated Business Mailing Address April 01, 2020

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

✅

NPI Profile Active April 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2012

Registered at 98 SHAKER ROAD, EAST LONGMEADOW, MA 01028 (Tel: 4135251554)

📍

Updated Business Mailing Address April 04, 2012

Registered at 354 BIRNIE AVE, SPRINGFIELD, MA 011071108 (Tel: 4137333470)

👤

Provider Name / Credentials Updated April 04, 2012

Recorded as SHELDON LYONS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2012

Internal Medicine (License #80506 in MA)

🟢

Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811962962

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: April 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut Street, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

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.