Nicole Lyons
Surgery โข Saint Paul, MN
640 Jackson St
Saint Paul, MN 551012502
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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NPI assigned on April 16, 2014; this date does not establish years in practice.
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Published CMS data list 98 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99231 โ Subsequent hospital care with straightforward or low level of medical decision making, per day: 45 service units.
- 99221 โ Initial hospital care with straightforward or low level of medical decision making, per day: 23 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 27 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl โ 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Surgery in Saint Paul, MN (2024, 28 clinicians with data). Median for this group: 110. Middle half: 81 to 176.
Close to the middle for Medicare Part B services among clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: 104. Middle half: 59 to 163.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 83 in 2020 to 98 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
640 Jackson St
Saint Paul, MN 551012502
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Minneapolis, MN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Centracare Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Minnesota Medical School
2014
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
127 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $7,348 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $5,520 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
27 standardized 30-day fills in 2024
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
$36 in 2024
The total cost of these prescriptions in 2024, 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Nicole Lyons has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicole Lyons as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Saint Paul and Minnesota
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Surgery in Saint Paul, MN (2024, 28 clinicians with data). Median for this group: 110. Middle half: 81 to 176.
Close to the middle for clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: 104. Middle half: 59 to 163.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Surgery in Saint Paul, MN (2024, 28 clinicians with data). Median for this group: $16,100. Middle half: $9,136 to $26,286.
A lower Medicare-allowed amount than 75% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: $14,248. Middle half: $7,430 to $24,576.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Surgery in Saint Paul, MN (2024, 28 clinicians with data). Median for this group: $12,623. Middle half: $6,711 to $20,359.
A lower Medicare payment amount than 75% of clinicians listed under Surgery in Minnesota (2024, 312 clinicians with data). Median for this group: $10,831. Middle half: $5,628 to $19,842.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Surgery in Saint Paul, MN (2024, 18 clinicians with data). Median for this group: 46. Middle half: 26 to 92.
Fewer Part D prescriptions than 70% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: 49. Middle half: 25 to 93.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Surgery in Saint Paul, MN (2024, 18 clinicians with data). Median for this group: $100. Middle half: $45 to $617.
A lower Part D drug cost than 85% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: $207. Middle half: $63 to $1,029.
47 active clinicians are listed under Surgery with a practice address in Saint Paul, MN (742 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Saint Paul
8.5% of these 47 clinicians have the CMS telehealth indicator.
72.3% of these 47 clinicians are listed by CMS as accepting Medicare assignment.
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 increased 18% from 83 in 2020 to 98 in 2024.
- 2020: 83
- 2021: 64
- 2022: 85
- 2023: 76
- 2024: 98
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $7,962 in 2020 and $7,348 in 2024.
- 2020: $7,962
- 2021: $4,735
- 2022: $4,715
- 2023: $5,618
- 2024: $7,348
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Paid by Medicare
Paid by Medicare varied from year to year: $5,960 in 2020 and $5,520 in 2024.
- 2020: $5,960
- 2021: $3,696
- 2022: $3,617
- 2023: $4,429
- 2024: $5,520
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2020 to 27 in 2024.
- 2020: 12
- 2021: 14
- 2022: 34
- 2023: 36
- 2024: 27
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30-day fills
30-day fills went from 12 in 2020 to 27 in 2024.
- 2020: 12
- 2021: 14
- 2022: 34
- 2023: 36
- 2024: 27
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Part D drug cost
Part D drug cost went from $45 in 2020 to $36 in 2024.
- 2020: $45
- 2021: $37
- 2022: $122
- 2023: $123
- 2024: $36
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 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 โ by Provider and Service data, 2020โ2024; 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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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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45 | 26 | $147.04 | $46.35 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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23 | 23 | $315.08 | $76.87 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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18 | 18 | $415.67 | $122.68 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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12 | 12 | $343.13 | $107.20 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 27 | 54 | $35.50 | 26 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20190731001185
MN
0143525303
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Centracare Clinic
1200 6th Ave N, Saint Cloud, MN 563032735
Phone: 3202525131
Secondary Practice Locations
701 Park Avenue,, Mail Code P-5
Minneapolis, MN 55415
Phone: 6128732849
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Surgery
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 640 JACKSON ST, SAINT PAUL, MN 551012502 (Tel: 6512545151)
NPI status registered as active in NPPES database
Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 554254516 (Tel: 6512545151)
Registered at 701 PARK AVENUE,, MAIL CODE P-5, MINNEAPOLIS, MN 55415 (Tel: 6128732849)
Recorded as NICOLE LYONS
Neurological Surgery (license number reported to NPPES: MN 62252)
NPI status registered as active in NPPES database
Registered at 701 PARK AVENUE,, MAIL CODE P-5, MINNEAPOLIS, MN 55415 (Tel: 6128732849)
Registered at 1415 11TH AVE S APT 511, MINNEAPOLIS, MN 554041415 (Tel: 7635162206)
Recorded as NICOLE LYONS
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Saint Paul
- Zachary Bergman
- Dr. Alexandra Lacey, MD
- Dr. Adam Sheka, MD
- Dr. Sarah Storrs, MD
- Dr. Marjorie Odegard, MD
- Dr. Diane Ogren, MD
More public profiles in Minnesota
Directory navigation, in NPI number order.
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- Kari Burgard, OD Optometrist ยท St Anthony
- Vishnu Laalitha Surapaneni, MD Hospitalist ยท Minneapolis
- Lacy Schwarze, MD Internal Medicine ยท Minneapolis
- Li Er Loo, MD Obstetrics & Gynecology ยท Cambridge
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- Christin Tiegs-Heiden, MD Radiology - Diagnostic Radiology ยท Rochester
- Olga Karachenets, MD Family Medicine ยท St Louis Park
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- Robin Ou-Yang, MD Obstetrics & Gynecology ยท Edina
Mailing Address
8170 33rd Ave S, Ms 21110q
Bloomington, MN 554254516
Phone: 6512545151