Doctor profile · Federal record

Dr. Lyle Andersen, PT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Modesto, CA

  • NPI 1265413918
  • Accepts Medicare
  • 57 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1917 Coffee RD
Modesto, CA 953552704
(209) 549-4626
fax (209) 549-4625

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
April 17, 2017
Year of graduation
1969 — 57 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
California #PT5278
Medicaid
CA #00PT52780

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265413918. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
921
Distinct HCPCS
3
Medicare allowed
$26,046
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 705 47 $25
97140 Therapy procedure using manual technique, each 15 minutes 169 39 $21
97162 Evaluation for physical therapy, typically 30 minutes 47 47 $103

In context: peer comparison

Among 15 peers in Modesto Physical Therapist, average services per provider: 705. This provider delivers 1.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Lyle Andersen's medical specialty?
Dr. Lyle Andersen practices Physical Therapist in Modesto, CA.
Where does Dr. Lyle Andersen practice?
Dr. Lyle Andersen practices at 1917 Coffee RD, Modesto, CA 953552704. Office phone: 2095494626.
What is Dr. Lyle Andersen's NPI?
Dr. Lyle Andersen's National Provider Identifier (NPI) is 1265413918, issued by NPPES.
Does Dr. Lyle Andersen accept Medicare assignment?
Yes. Dr. Lyle Andersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lyle Andersen commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Evaluation for physical therapy, typically 30 minutes (HCPCS 97162). Source: CMS Medicare Physician & Other Practitioners file.