JONATHAN PAUL LILLY MD
NPI 1073574414
Family Medicine in Dunbar, WV

Q: What is Jonathan Lilly's NPI number?

The NPI number for Jonathan Lilly is 1073574414. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Jonathan Lilly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Lilly was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment

1100 GROSSCUP AVE, DUNBAR, WV 25064(304) 768-8811(304) 768-4072 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2025, Dec 21, 2021, Jan 13, 2021 and 2 more (5 updates tracked since 2015).

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About Jonathan Paul Lilly Md NPPES

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

JONATHAN PAUL LILLY MD (NPI 1073574414) is an individual family medicine provider in Dunbar, West Virginia, licensed in West Virginia (16256) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Hurricane.

NPPES Registry Identity

NPI1073574414

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN PAUL LILLYCredential: MD

Location Address1100 GROSSCUP AVEDunbar, WV 25064-3120

Mailing Address1100 Grosscup AveDunbar, WV 25064-3120 · (304) 768-8811 · Fax (304) 768-4072

Phone(304) 768-8811

Fax(304) 768-4072

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1989

Enumeration DateMarch 28, 2006

Last NPPES UpdateNovember 17, 20255 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1073574414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 16256

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1100 GROSSCUP AVE, Dunbar, WV 25064

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Secondary Practice Location 1

Location 13752 Teays Valley RdHurricane, WV 25526-9705 · Phone (304) 757-3131 · Fax (304) 760-6173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Paul Lilly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305747510

PECOS Enrollment IDI20040123000259

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.

Areas of Expertise CMS Part B claims 10

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 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.

669 services286 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

370 services45 patients

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.

84 services63 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.

45 services31 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

43 services43 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

40 services40 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25064 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers66 claims214 services$6.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers20 claims33 services$0.99 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

2 suppliers21 claims21 services$7.88 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$84.80 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier21 claims21 services$27.34 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers25 claims25 services$190.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

JOHN PRESTON LILLY JR. MD

Internal Medicine