1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Internal Medicine
  6. NPI Profile

MICHAEL BRIAN LILLY M.D.
NPI 1033147186
Internal Medicine - Medical Oncology in Charleston, SC

Active since June 29, 2006PECOS Enrolled
39 SABIN STREET, 725 WALTON BLDG, CHARLESTON, SC 29425(843) 792-0592 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2022, Oct 14, 2020, Mar 10, 2020 (3 updates tracked since 2020).

About Michael Brian Lilly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BRIAN LILLY M.D. (NPI 1033147186) is an individual medical oncology provider in Charleston, South Carolina, licensed in South Carolina (34690) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033147186
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMICHAEL BRIAN LILLYCredential: M.D.
Location Address39 SABIN STREET, 725 WALTON BLDGCharleston, SC 29425
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 792-0592
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1033147186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in SC · 34690✔ Licensed in CA · G84932
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License AL34690 (SC)
39 SABIN STREET, Charleston, SC 29425
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G849320CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Brian Lilly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
Same address
Pediatric Emergency Medicine
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1548413453 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Lilly's NPI number?

The NPI number for Michael Lilly is 1033147186. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Lilly located?

Michael Lilly practices at 39 Sabin Street 725 Walton Bldg, Charleston, SC 29425. The listed phone number is (843) 792-0592.

What is Michael Lilly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Lilly enrolled in Medicare?

Yes. Michael Lilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lilly reassigns Medicare benefits to University Medical Associates (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lilly accept?

Health plans from First Choice Next list Michael Lilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Lilly was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.