NPI registry status
Active
2026 NPPES data Dermatopathology (Pathology) Physician NPI 1104096544 M.D.
Verify on CMS → James Lyons, M.D.
Dermatopathology (Pathology) Physician in Dothan, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 560 in Dermatopathology (Pathology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
85
Medicare Part D claims · Dermatopathology (Pathology) Physician avg: 369
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$59.2K
130 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Lyons, M.D. reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 85 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 85
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
James Lyons, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Lyons, M.D. sits
This provider among dermatopathology (pathology) physician peers
Across the 27 dermatopathology (pathology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Lyons, M.D. writes more Part D claims than 22% of them and scores higher on MIPS quality than 81% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one dermatopathology (pathology) physician peer from a representative sample of 26; the gold marker is James Lyons, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Lyons, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Lyons, M.D.?
High performer (top quartile)Primary specialty
Dermatopathology (Pathology) Physician
Medicare Part D claims
85 77% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Alabama
How Dermatopathology (Pathology) Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
James Lyons, M.D.'s 2023 MIPS final score plotted against the Dermatopathology (Pathology) Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Dermatopathology (Pathology) Physician) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
James Lyons, M.D. appears in the CMS NPPES registry as a Dermatopathology (Pathology) Physician provider holding M.D. credentials at 1108 ROSS CLARK CIR, Dothan, AL, 36301, with a listed phone of (334) 793-8058. NPI 1104096544 was issued on 02/29/2008.
Medicare Part D records for calendar year 2023 show 85 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $8K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Dermatopathology (Pathology) Physician is a narrow specialty nationwide, with 560 enrolled providers across 49 states and an average of 369 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1104096544 |
|---|---|
| Specialty | Dermatopathology (Pathology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/29/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Lyons, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$59.2K
Largest payer
CSL Plasma Inc.
Most common payment type
Consulting Fee
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
85
Total Claims
$8K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 181
- Total Day Supply
- 5,316
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 2.26
More Dermatopathology (Pathology) Physician in AL →
All providers in Alabama →
Compare specialties →
Dermatopathology (Pathology) Physician Overview
How James Lyons, M.D. fits within the Dermatopathology (Pathology) Physician landscape nationally.
560
Dermatopathology (Pathology) Physician Providers in US
49
States with Dermatopathology (Pathology) Physician
369
Avg Claims per Provider
James Lyons, M.D.'s 85 claims are below the specialty average of 369.
Nearby Dermatopathology (Pathology) Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Lyons.
Dr. Holly Burford
MD
Birmingham, AL
Dr. Anne Bussian
M.D.
Birmingham, AL
Dr. Stephenie Dillard
MD
Tuscaloosa, AL
Dr. James Elder
M.D.
Birmingham, AL
Dr. Grant Eudy
MD
Birmingham, AL
Compare Dermatopathology (Pathology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Dermatopathology (Pathology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Alabama
Frequently Asked Questions
What is James Lyons, M.D.'s specialty? ▼
James Lyons, M.D. specializes in Dermatopathology (Pathology) Physician and practices in Dothan, Alabama. Credentials: M.D..
How much does James Lyons, M.D. prescribe under Medicare Part D? ▼
In 2023, James Lyons, M.D. wrote 85 Medicare Part D claims totaling $8K in drug costs for N/A beneficiaries.
What is James Lyons, M.D.'s Medicare quality score? ▼
James Lyons, M.D. has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Lyons, M.D. located? ▼
James Lyons, M.D. is located at 1108 ROSS CLARK CIR, Dothan, AL, 36301. Phone: (334) 793-8058.
What is James Lyons, M.D.'s NPI number? ▼
James Lyons, M.D.'s National Provider Identifier (NPI) is 1104096544, issued on 02/29/2008.
How many Dermatopathology (Pathology) Physician providers are there in the US? ▼
There are 560 Dermatopathology (Pathology) Physician providers across 49 states in the US. The average Dermatopathology (Pathology) Physician provider writes 369 Medicare Part D claims per year.
Does James Lyons, M.D. accept Medicare? ▼
James Lyons, M.D. appears in CMS Medicare data with 85 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Lyons, M.D.'s credentials? ▼
James Lyons, M.D.'s NPI is 1104096544 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.