2026 NPPES data Orthopaedic Surgery Physician NPI 1245330729 M.D.
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JOHN LYON, M.D.

Orthopaedic Surgery Physician in PARK RIDGE, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 345 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.6842/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$94.37
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN LYON, M.D. reported a CMS MIPS final score of 72.6842/100 — below the 83.1 national average — and filed 1,125 Medicare Part D claims in 2023.

72.6842/100
MIPS score · -10 vs avg
1K
Part D claims, 2023
91%
generic prescribing
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.

JOHN LYON, 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

73 10th percentile higher than 10% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JOHN LYON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 JOHN LYON, M.D.?

Below national average

NPI registry status

Active

Issued 09/24/2006

NPI 1245330729

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,125 247% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

72.6842/100 10.41579999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Orthopaedic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Orthopaedic Surgery Physician share within Illinois

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Illinois

Medicare quality performance — MIPS

JOHN LYON, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
72.6842/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 72.6842/100 vs national avg 83.1

0%100%National avg83%72.7%
MIPS final score (Orthopaedic Surgery Physician) — 72.6842/100 vs national avg 83.1

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).

JOHN LYON, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 1550 N NORTHWEST HWY, PARK RIDGE, IL, 60068, with a listed phone of (847) 824-3198. NPI 1245330729 was issued on 09/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LYON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,125 prescription claims written by this provider, covering 345 Medicare beneficiaries and totaling roughly $41K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 32.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.6842/100 for the 2023 performance year (Quality 71.8158, Cost 52.965), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1550 N NORTHWEST HWY
PARK RIDGE, IL 60068

Provider Details

NPI 1245330729
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/24/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

72.6842
Final Score
Avg: 83.1
71.8158
Quality
52.965
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN LYON, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ILLINOIS BONE AND JOINT INSTITUTE, LLC
FOX RIVER GROVE, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 JOHN LYON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$94

Largest payer

EXACTECH, INC.

Most common payment type

Food and Beverage

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.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to JOHN LYON, M.D.. To verify JOHN LYON, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOHN LYON, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 1,125 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,125
Total Claims
$41K
Total Drug Cost
345
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,138
Total Day Supply
13,485
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$32K
Generic Drug Cost
$10K
Opioid Claims
370 (32.9% rate)
Antibiotic Claims
362

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.03
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOHN LYON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amoxicillin
296
Celecoxib
234
Tramadol Hcl
217
Oxycodone Hcl
150
Xarelto
Rivaroxaban
96
Clindamycin Hcl
53
Meloxicam
15
Enoxaparin Sodium
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery Physician Overview

How JOHN LYON, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JOHN LYON, M.D.'s 1,125 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as LYON.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN LYON, M.D.'s specialty?
JOHN LYON, M.D. specializes in Orthopaedic Surgery Physician and practices in PARK RIDGE, Illinois. Credentials: M.D..
How much does JOHN LYON, M.D. prescribe under Medicare Part D?
In 2023, JOHN LYON, M.D. wrote 1,125 Medicare Part D claims totaling $41K in drug costs for 345 beneficiaries.
What is JOHN LYON, M.D.'s Medicare quality score?
JOHN LYON, M.D. has a CMS MIPS Final Score of 72.6842/100 (Quality: 71.8158, Cost: 52.965). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN LYON, M.D. located?
JOHN LYON, M.D. is located at 1550 N NORTHWEST HWY, PARK RIDGE, IL, 60068. Phone: (847) 824-3198.
What is JOHN LYON, M.D.'s NPI number?
JOHN LYON, M.D.'s National Provider Identifier (NPI) is 1245330729, issued on 09/24/2006.
Does JOHN LYON, M.D. prescribe more brand-name or generic drugs?
JOHN LYON, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $32K in brand drug costs.
Does JOHN LYON, M.D. prescribe opioids?
Yes, JOHN LYON, M.D. had 370 opioid claims in 2023 with an opioid prescribing rate of 32.9%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JOHN LYON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN LYON, M.D.'s most frequently prescribed drugs include Amoxicillin, Celecoxib, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN LYON, M.D. accept Medicare?
JOHN LYON, M.D. appears in CMS Medicare data with 1,125 Part D claims and 345 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN LYON, M.D.'s credentials?
JOHN LYON, M.D.'s NPI is 1245330729 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

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