Active NPI 1255569414 Individual Practitioner Male Practitioner

Dr. James D Lyions , MD

Orthopaedic Surgery • Maumee, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Lyions, MD is a certified Orthopaedic Surgery practicing in Maumee, OH. With approximately 17 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2009, Dr. Lyions delivers high-quality medical care to the local community at 5755 MONCLOVA RD.

Dr. Lyions is affiliated with Mercy Health Physicians North Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5755 Monclova Rd

Maumee, OH 435371837

Telephone 4198932663

Fax 4198937941

Associated Practice Facility / Clinic

🏢 Empicare, Inc. Facility NPI 1790836054

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Maumee, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -6.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Maumee, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lyions (17 Years) 17 Yrs

Maumee Specialty Average (23.0 Years) 23.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	8,060	88	$0.27	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	220	$192.85	$126.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$248.63	$165.31
20610 Aspiration and/or injection of fluid from large joint	120	93	$169.05	$67.72
73562 X-ray of knee, 3 views	66	56	$67.00	$39.06
73502 X-ray of hip, 2-3 views	53	45	$75.89	$44.94
73030 X-ray of shoulder, minimum of 2 views	51	40	$56.25	$32.31
J1040 Injection, methylprednisolone acetate, 80 mg	48	40	$23.38	$9.65
73560 X-ray of knee, 1-2 views	43	40	$56.00	$32.80
27447 Replacement of knee joint, both sides of knee	34	34	$2600.00	$1263.91
20550 Injection into tendon or ligament	29	23	$101.55	$51.33
73110 X-ray of wrist, minimum of 3 views	28	17	$67.00	$39.13
26055 Incision of tendon covering	28	20	$510.00	$221.46
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$134.81	$89.46
64721 Release and/or relocation of hand nerve	24	20	$713.00	$357.90
73130 X-ray of hand, minimum of 3 views	21	18	$60.00	$35.74
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$2349.00	$1293.60
20600 Aspiration and/or injection of fluid from small joint	16	13	$112.50	$51.29
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$146.00	$83.50
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$2381.00	$1456.93

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	248	179	$209.98	$122.15
J1040 Injection, methylprednisolone acetate, 80 mg	223	137	$25.00	$11.59
20610 Aspiration and/or injection of fluid from large joint	213	138	$167.53	$64.53
99213 Established patient office or other outpatient visit, typically 15 minutes	126	98	$163.66	$86.50
73560 X-ray of knee, 1-2 views	80	70	$36.65	$18.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$308.60	$157.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$208.82	$108.51
73502 X-ray of hip, 2-3 views	51	41	$58.00	$31.23
73562 X-ray of knee, 3 views	49	45	$63.04	$34.66
27447 Replacement of knee joint, both sides of knee	41	37	$2755.61	$1262.98
73030 X-ray of shoulder, minimum of 2 views	37	32	$45.97	$25.03
73565 X-ray of both knees while standing	27	27	$26.11	$11.52
73110 X-ray of wrist, minimum of 3 views	27	22	$43.15	$22.87
J1030 Injection, methylprednisolone acetate, 40 mg	23	18	$14.83	$7.54
20550 Injection into tendon or ligament	20	16	$119.55	$50.56
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$2748.00	$1167.65
73130 X-ray of hand, minimum of 3 views	15	11	$44.60	$23.57
64721 Release and/or relocation of hand nerve	14	13	$902.00	$396.93
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$126.83	$53.51
20600 Aspiration and/or injection of fluid from small joint	12	12	$123.17	$55.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,499	66	$0.28	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	156	113	$166.20	$87.40
20610 Aspiration and/or injection of fluid from large joint	152	120	$162.01	$67.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	110	$245.87	$123.13
73560 X-ray of knee, 1-2 views	93	75	$51.33	$8.39
J1040 Injection, methylprednisolone acetate, 80 mg	88	64	$23.55	$10.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$247.33	$106.94
J1030 Injection, methylprednisolone acetate, 40 mg	67	37	$12.00	$6.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$379.50	$162.38
73502 X-ray of hip, 2-3 views	54	45	$70.00	$10.73
73565 X-ray of both knees while standing	44	44	$59.86	$8.33
73030 X-ray of shoulder, minimum of 2 views	34	28	$63.35	$10.13
20550 Injection into tendon or ligament	33	25	$135.97	$46.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$98.83	$54.46
64721 Release and/or relocation of hand nerve	21	18	$1114.95	$415.85
27447 Replacement of knee joint, both sides of knee	21	20	$3154.67	$1253.36
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$3043.29	$1055.17
73110 X-ray of wrist, minimum of 3 views	19	16	$57.47	$8.81
73130 X-ray of hand, minimum of 3 views	16	15	$53.00	$9.39
73562 X-ray of knee, 3 views	13	13	$119.85	$17.39
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$168.75	$98.25
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$152.83	$56.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	307	107	$12.00	$5.63
99213 Established patient office or other outpatient visit, typically 15 minutes	135	108	$159.51	$88.64
20610 Aspiration and/or injection of fluid from large joint	126	99	$154.01	$66.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	87	$236.97	$125.61
73560 X-ray of knee, 1-2 views	76	62	$68.64	$8.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$237.72	$107.08
73502 X-ray of hip, 2-3 views	60	42	$90.10	$10.93
73030 X-ray of shoulder, minimum of 2 views	41	32	$69.22	$10.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$94.72	$53.20
73565 X-ray of both knees while standing	36	36	$76.08	$8.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$363.71	$164.49
27447 Replacement of knee joint, both sides of knee	25	24	$3026.60	$1246.47
64721 Release and/or relocation of hand nerve	19	17	$1066.32	$421.40
26055 Incision of tendon covering	16	12	$1298.25	$206.79
73110 X-ray of wrist, minimum of 3 views	15	13	$90.00	$10.25
20550 Injection into tendon or ligament	13	11	$141.23	$52.97
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$162.55	$70.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	375	134	$12.00	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	232	165	$158.00	$73.67
20610 Aspiration and/or injection of fluid from large joint	142	110	$149.66	$64.99
73560 X-ray of knee, 1-2 views	80	66	$67.65	$8.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$235.00	$105.12
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$162.00	$73.60
73030 X-ray of shoulder, minimum of 2 views	50	39	$62.22	$9.81
73502 X-ray of hip, 2-3 views	43	35	$87.00	$11.40
73565 X-ray of both knees while standing	39	39	$75.00	$8.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$94.00	$44.41
20550 Injection into tendon or ligament	31	24	$137.32	$48.14
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$161.00	$97.26
27447 Replacement of knee joint, both sides of knee	23	21	$2993.00	$1391.14
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$2910.00	$1318.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$234.00	$107.61
64721 Release and/or relocation of hand nerve	11	11	$1009.00	$432.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	455	163	$12.00	$6.31
99213 Established patient office or other outpatient visit, typically 15 minutes	281	199	$158.00	$71.64
20610 Aspiration and/or injection of fluid from large joint	165	128	$151.20	$61.62
73560 X-ray of knee, 1-2 views	109	82	$66.00	$8.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$235.00	$105.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	74	$93.56	$43.42
73565 X-ray of both knees while standing	45	44	$75.00	$8.61
27447 Replacement of knee joint, both sides of knee	39	34	$2993.00	$1332.38
73502 X-ray of hip, 2-3 views	36	29	$90.83	$12.06
20550 Injection into tendon or ligament	35	27	$132.69	$47.83
73030 X-ray of shoulder, minimum of 2 views	35	24	$61.00	$9.47
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$162.00	$73.89
73562 X-ray of knee, 3 views	23	12	$75.00	$8.76
64721 Release and/or relocation of hand nerve	22	21	$1009.00	$385.49
73110 X-ray of wrist, minimum of 3 views	17	13	$74.00	$8.78
73130 X-ray of hand, minimum of 3 views	16	13	$65.00	$8.78
26055 Incision of tendon covering	16	14	$1295.00	$238.10
27130 Replacement of thigh bone and hip joint with prosthesis	15	11	$2910.00	$1362.84
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$161.00	$100.60
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4438.00	$1200.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	337	131	$12.00	$6.64
99213 Established patient office or other outpatient visit, typically 15 minutes	239	175	$158.00	$69.42
20610 Aspiration and/or injection of fluid from large joint	139	107	$150.04	$61.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$235.00	$103.90
73560 X-ray of knee, 1-2 views	74	63	$66.89	$8.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	46	$94.00	$41.05
73565 X-ray of both knees while standing	42	42	$75.00	$8.47
73030 X-ray of shoulder, minimum of 2 views	34	22	$64.59	$9.90
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$161.00	$99.56
73502 X-ray of hip, 2-3 views	26	23	$97.62	$11.09
27447 Replacement of knee joint, both sides of knee	25	24	$2993.00	$1259.11
73610 X-ray of ankle, minimum of 3 views	17	13	$66.00	$8.67
73110 X-ray of wrist, minimum of 3 views	17	16	$74.00	$8.22
20550 Injection into tendon or ligament	17	14	$129.00	$51.63
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$3250.00	$789.64
73130 X-ray of hand, minimum of 3 views	12	12	$69.92	$8.66
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$2923.18	$1139.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	200	$149.56	$67.23
20610 Aspiration and/or injection of fluid from large joint	263	171	$168.30	$60.86
J1030 Injection, methylprednisolone acetate, 40 mg	192	80	$12.08	$6.12
J1040 Injection, methylprednisolone acetate, 80 mg	184	101	$24.01	$10.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	64	$88.46	$38.58
73560 X-ray of knee, 1-2 views	85	70	$60.35	$8.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$228.29	$99.01
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	43	15	$440.33	$146.78
73565 X-ray of both knees while standing	43	43	$66.07	$8.35
73030 X-ray of shoulder, minimum of 2 views	41	29	$59.17	$9.24
73502 X-ray of hip, 2-3 views	32	28	$87.50	$10.72
J1020 Injection, methylprednisolone acetate, 20 mg	28	20	$11.57	$5.08
73110 X-ray of wrist, minimum of 3 views	16	11	$74.00	$8.37
20600 Aspiration and/or injection of fluid from small joint	15	12	$109.53	$34.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$116.27	$64.32
73610 X-ray of ankle, minimum of 3 views	15	11	$60.53	$8.38
27447 Replacement of knee joint, both sides of knee	14	14	$3197.79	$1228.82
20605 Aspiration and/or injection of medium joint or joint capsule	12	12	$118.75	$39.41

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.123037

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0102788 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians North Specialty Care Llc

3900 Sunforest Ct, Toledo, OH 436234481

Phone: 4194751600

Mercy Health Physicians North Specialty Care Llc

12623 Eckel Junction Rd, Perrysburg, OH 435511304

Phone: 5673681500

Mercy Health Physicians North Specialty Care Llc

3404 W Sylvania Ave, Toledo, OH 436234467

Phone: 4194072663

Mercy Health Physicians North Specialty Care Llc

12623 Eckel Junction Rd, Perrysburg, OH 435511304

Phone: 4194420222

Mercy Health Physicians North Specialty Care Llc

6005 Monclova Rd, Maumee, OH 435371860

Phone: 4198932663

Mercy Health Physicians North Specialty Care Llc

2213 Cherry St, Toledo, OH 436082603

Mercy Health Physicians North Specialty Care Llc

3404 W Sylvania Ave, Toledo, OH 436234467

Phone: 4194071182

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Benjamin Salpietro , MD

Orthopaedic Surgery

NPI 1285722280

Doctor of Medicine (M.D.)

Dr. Michael Hoeflinger , MD

Orthopaedic Surgery

NPI 1295823284

Doctor of Medicine (M.D.)

Dr. Thomas Houston , MD

Orthopaedic Surgery

NPI 1437247491

Doctor of Medicine (M.D.)

Rebekah Swartz , PA-C

Physician Assistant - Medical

NPI 1508627332

Physician Assistant (Certified)

Dr. Douglas Olson , MD

Orthopaedic Surgery

NPI 1811289846

Doctor of Medicine (M.D.)

Laura Kovacik , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1922536820

PHYSICIANASSISTANT

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 26, 2019

Registered at PO BOX 72030, CLEVELAND, OH 441920002 (Tel: 4194795893)

✅

NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2014

Registered at 5755 MONCLOVA RD, MAUMEE, OH 435371837 (Tel: 4198932663)

📍

Updated Business Mailing Address June 24, 2014

Registered at 5755 MONCLOVA RD, MAUMEE, OH 435371837 (Tel: 4198932663)

👤

Provider Name / Credentials Updated June 24, 2014

Recorded as JAMES LYIONS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Orthopaedic Surgery (License #35.123037 in OH)

🟢

Initial NPI Registration & Enumeration June 26, 2009

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: 1255569414

Entity Type:

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

Enumeration Date: June 26, 2009

Last Update: February 26, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 72030

Cleveland, OH 441920002

Phone: 4194795893

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.