MR. BUDDY WAYNE LILE M.D.
NPI 1104858612
Psychiatry & Neurology - Psychiatry in New Brighton, MN
About Mr. Buddy Wayne Lile M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BUDDY WAYNE LILE M.D. (NPI 1104858612) is an individual psychiatry provider in New Brighton, Minnesota, licensed in Minnesota (49329) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1994).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Buddy Wayne Lile M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Buddy Lile reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 86 clinicians in this Medicare group
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 23 clinicians in this Medicare group
Marshall, MN 56258
- Reassigned Medicare billing, Minnesota enrollment
- 47 clinicians in this Medicare group
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 399 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BRIGHTON, MN 55112
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 Buddy Lile's NPI number?
The NPI number for Buddy Lile is 1104858612. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Dr. Bud Wayne Ingram-Lile M.D..
Where is Buddy Lile located?
Buddy Lile practices at 550 Main Street Suite 230, New Brighton, MN 55112. The listed phone number is (612) 326-7558.
What is Buddy Lile's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Buddy Lile enrolled in Medicare?
Yes. Buddy Lile is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Buddy Lile's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Buddy Lile reassigns Medicare benefits to 4 organizations: Amherst H. Wilder Foundation (Saint Paul, MN), Hamm Memorial Psychiatric Clinic (Saint Paul, MN), Western Mental Health Center, Inc. (Marshall, MN) and St. Vincent Hospital (Taos, NM). Each 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 Buddy Lile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Buddy Lile accept?
Health plans from Avera Health Plans, HealthPartners and Sanford Health Plan list Buddy Lile 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 Buddy Lile was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Buddy Wayne Lile, M.D. · NPI 1104858612
Psychiatry physician in New Brighton, Minnesota. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1104858612 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 49329 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 MAIN STREET, SUITE 230, New Brighton, MN 55112
- **Phone:** (612) 326-7558 · **Fax:** (612) 454-2087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Amherst H. Wilder Foundation (NPI 1548337355, Saint Paul, MN); Hamm Memorial Psychiatric Clinic (NPI 1609876051, Saint Paul, MN); Western Mental Health Center, Inc. (NPI 1982613311, Marshall, MN); St. Vincent Hospital (NPI 1265790216, Taos, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 1994
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 042-0010705 (VT); Medicaid 1010386 (MN); Medicaid 1010386 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1104858612) · Data from the CMS NPPES public registry.