DR. CHARLES J LILLY M.D.
NPI 1043311848
Orthopaedic Surgery in Mount Pleasant, MI

Q: What is Charles Lilly's NPI number?

The NPI number for Charles Lilly is 1043311848. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Charles Lilly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Lilly was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 26, 2006PECOS Enrolled

75/100

CMS Quality Rating

2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858(989) 772-3886(989) 773-6267 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Charles J Lilly M.d. NPPES

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

DR. CHARLES J LILLY M.D. (NPI 1043311848) is an individual orthopaedic surgery provider in Mount Pleasant, Michigan, licensed in Michigan (4301048544) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043311848

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CHARLES J LILLYCredential: M.D.

Location Address2890 HEALTH PARKWAYMount Pleasant, MI 48858

Mailing Address350 Cedar DrMount Pleasant, MI 48858-9027 · (989) 772-4403

Phone(989) 772-3886

Fax(989) 773-6267

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 30, 2008

✔ NPI 1043311848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MI · 4301048544

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2890 HEALTH PARKWAY, Mount Pleasant, MI 48858

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Other Identifiers 4

Medicare PINP55540001MI

Medicaid1644906MI

Other00370822MI · Blue Cross Blue Shield Mi

Medicare UPINB46584MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles J 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 Charles Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles J Lilly MD PC

Same address

Orthopaedic Surgery

2890 HEALTH PARKWAY
Mount Pleasant, MI 48858

Reassigned Medicare billing, Michigan enrollment

NPI 1619167996 (989) 772-3886

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

250 services160 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

220 services49 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

78 services51 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

72 services45 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

67 services58 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

61 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

41 services37 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

38 services32 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

26 services21 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

16 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

97%851 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS M KEATING M.D.

Orthopaedic Surgery

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858

Isabella County (989) 772-0923

MICHAEL J MOUTSATSON DO PLLC

Orthopaedic Surgery

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858

Isabella County (989) 953-9777

CENTRAL MICHIGAN HAND THERAPY LLC

Occupational Therapist

2890 HEALTH PARKWAY
MT PLEASANT, MI 48858

Isabella County (989) 289-3755

THOMAS M KEATING MD PC

Orthopaedic Surgery

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858

Isabella County (989) 773-0923

CHARLES J LILLY MD PC

Orthopaedic Surgery

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858

Isabella County (989) 772-3886

MICHAEL JAMES MOUTSATSON D.O.

Orthopaedic Surgery

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI 48858

Isabella County (989) 953-9777

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 Charles Lilly's NPI number?

The NPI number for Charles Lilly is 1043311848. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Charles Lilly located?

Charles Lilly practices at 2890 Health Parkway, Mount Pleasant, MI 48858. The listed phone number is (989) 772-3886.

What is Charles Lilly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Lilly enrolled in Medicare?

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

Which organization bills Medicare for Charles Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Lilly reassigns Medicare benefits to Charles J Lilly MD PC (Mount Pleasant, MI). 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 Charles Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Lilly accept?

Health plans from Priority Health list Charles 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 Charles Lilly was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.