Medicare Enrolled

Dr. James Lyions, M.D.

Orthopedic Surgery · Maumee, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5755 MONCLOVA RD, Maumee, OH 43537
4198932663
Registered in NPPES since 2009
NPI: 1255569414 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Lyions from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Lyions

Dr. James Lyions is an orthopedic surgery specialist in Maumee, OH, with 17 years of NPI registration. Based on federal Medicare data, Dr. Lyions performed 1,364 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Lyions received a total of $1,198 from 11 pharmaceutical and/or device companies across 34 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lyions is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years of NPI registration ▲ Top 36% volume in OH $1,198 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,364
Medicare services
Top 36% in OH for orthopedic surgery
Not available
Unique patients (not deduplicated)
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
248 $89 $210
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
223 $8 $25
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
213 $48 $168
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
126 $55 $164
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
80 $14 $37
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
65 $67 $209
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
65 $105 $309
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
51 $25 $58
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
49 $26 $63
Total knee replacement 41 $991 $2,756
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
37 $19 $46
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
27 $18 $43
X-ray of both knees, standing
An X-ray image of both knees taken while the patient is standing to assess bone alignment and joint space under weight-bearing conditions.
27 $8 $26
Injection, methylprednisolone acetate, 40 mg 23 $5 $15
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
20 $35 $120
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
16 $923 $2,748
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
15 $18 $45
Hand nerve release or relocation
A surgical procedure to release or reposition a nerve in the hand.
14 $312 $902
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
12 $41 $123
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
12 $34 $127
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
4.2% high complexity
36.9% medium
58.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,198
Total received (2018-2024)
Avg $200/year across 6 years
Bottom 30% in OH for orthopedic surgery
11
Companies
34
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$366
2022
$162
2021
$133
2020
$44
2019
$410
2018
$83

Payments by company (2024)

Zimmer Biomet Holdings, Inc.
$186
Integra LifeSciences Corporation
$130
Bioventus LLC
$33
Smith+Nephew, Inc.
$16
Top 3 companies account for 95.5% of 2024 payments
All-time payments by company (2018-2024) ›
Zimmer Biomet Holdings, Inc.
$479
Smith+Nephew, Inc.
$330
Integra LifeSciences Corporation
$165
Bioventus LLC
$87
BREG, INC
$27
ROCK MEDICAL ORTHOPEDICS, INC.
$25
Smith & Nephew, Inc.
$23
DePuy Synthes Sales Inc.
$22
Pacira Therapeutics, Inc.
$14
Avanos Medical
$14
Celularity Functional Regeneration, LLC
$11
Top 3 companies account for 81.3% of all-time payments
Associated products mentioned in payments ›
ACell · BILAYER WOUND MATRIX (BWM) · BREG · Bioinductive Implant with Arthroscopic Delivery System - Medium · Biosure · Biovance · Coblation Wands · Comprehensive Shoulder · DUROLANE · Durolane · FAST-FIX 360 · FIRSTPASS · FREEDOM WRIST · Firstpass · HEALICOIL · Integra · Juggerstitch · LENS 4K Camera System · LENS Surgical Imaging System · MONOVISC · NOVOSTITCH PRO · ON-Q PUMP AND ACCESSORIES · ORTHOVISC · Persona · Q-FIX · Regeneten · Tapestry · ULTRABUTTON · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an orthopedic surgery specialist in Maumee?
Compare orthopedic surgeons in the Maumee area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons in nearby ZIP areas
61
County median income
$60,095
Nearest hospital to ZIP centroid (approximate)
ARROWHEAD BEHAVIORAL HEALTH
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Lyions is a clinical cardiology specialist, with moderate Medicare volume, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lyions experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lyions performed 248 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Lyions receive payments from pharmaceutical companies?
Yes. Dr. Lyions received a total of $1,198 from 11 companies across 34 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Lyions's costs compare to other orthopedic surgeons in Maumee?
Dr. Lyions's average Medicare payment per service is $87. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Lyions) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →