Dr. Kenneth Anthony Lyons , MD
Internal Medicine • Marshalltown, IA
312 E Main St
Marshalltown, IA 501581888
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Kenneth Lyons is listed in NPPES under Internal Medicine.
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NPI assigned on October 24, 2005; this date does not establish years in practice.
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Published CMS data list 1,498 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99213 — Established patient outpatient office visit: 251 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 240 service units.
- 80061 — Blood test, lipids (cholesterol and triglycerides): 168 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 11 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Lisinopril — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 10,325 in 2017 to 1,498 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
312 E Main St
Marshalltown, IA 501581888
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $51,980 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $27,643 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
30-day fills
11 standardized 30-day fills in 2020
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$65 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Marshalltown and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Lyons are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Lyons are from 2020.
6 active clinicians are listed under Internal Medicine with a practice address in Marshalltown, IA (871 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 85% from 10,325 in 2017 to 1,498 in 2018.
- 2017: 10,325
- 2018: 1,498
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Medicare-allowed amount
Medicare-allowed amount decreased 83% from $307,634 in 2017 to $51,980 in 2018.
- 2017: $307,634
- 2018: $51,980
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Paid by Medicare
Paid by Medicare decreased 88% from $238,182 in 2017 to $27,643 in 2018.
- 2017: $238,182
- 2018: $27,643
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 100% from 12,727 in 2016 to 11 in 2020.
- 2016: 12,727
- 2017: 12,481
- 2018: 6,428
- 2019: 364
- 2020: 11
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30-day fills
30-day fills decreased 100% from 24,912 in 2016 to 11 in 2020.
- 2016: 24,912
- 2017: 25,072
- 2018: 13,504
- 2019: 456
- 2020: 11
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Part D drug cost
Part D drug cost decreased 100% from $557,658 in 2016 to $65 in 2020.
- 2016: $557,658
- 2017: $517,084
- 2018: $255,351
- 2019: $10,933
- 2020: $65
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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251 | 201 | $113.00 | $68.90 |
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36415
Insertion of needle into vein for collection of blood sample
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240 | 213 | $10.00 | $2.94 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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168 | 165 | $49.00 | $16.20 |
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93793
Anticoagulant management of patient taking warfarin
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120 | 16 | $20.00 | $11.37 |
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80053
Blood test, comprehensive group of blood chemicals
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90 | 90 | $40.00 | $12.78 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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83 | 83 | $115.00 | $109.13 |
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83036
Hemoglobin a1c level
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81 | 81 | $37.00 | $11.75 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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56 | 56 | $170.00 | $102.10 |
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82947
Blood glucose (sugar) level
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55 | 54 | $14.00 | $4.75 |
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85610
Blood test, clotting time
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54 | 24 | $13.50 | $4.75 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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48 | 48 | $231.00 | $137.57 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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42 | 23 | $34.00 | $20.18 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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34 | 32 | $63.00 | $20.33 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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28 | 23 | $25.00 | $9.40 |
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82043
Urine microalbumin (protein) level
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27 | 27 | $22.00 | $7.00 |
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82570
Creatinine level to test for kidney function or muscle injury
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27 | 27 | $20.00 | $6.26 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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25 | 25 | $73.00 | $41.10 |
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G0249
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the
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25 | 16 | $287.00 | $80.87 |
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80048
Blood test, basic group of blood chemicals (calcium, total)
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20 | 19 | $32.00 | $9.79 |
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G0009
Administration of pneumococcal vaccine
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13 | 13 | $43.00 | $18.94 |
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G0103
Prostate cancer screening; prostate specific antigen test (psa)
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11 | 11 | $28.00 | $22.26 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 11 | 335 | $65.04 | — |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified), Advanced Registered Nurse Practitioner
Career & Practice History
NPI enumerated October 24, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Marshalltown
Healthcare providers in MarshalltownMailing Address
312 E Main St
Marshalltown, IA 501581888
Phone: 6417520654