MR. BUDDY WAYNE LILE M.D.
NPI 1104858612
Psychiatry & Neurology - Psychiatry in New Brighton, MN

Q: 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..

Q: What is Buddy Lile's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

93.21/100

CMS Quality Rating

550 MAIN STREET, SUITE 230, NEW BRIGHTON, MN 55112(612) 326-7558(612) 454-2087 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of University Of Texas Medical School At Houston (1994).

NPPES Registry Identity

NPI1104858612

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMR. BUDDY WAYNE LILECredential: M.D.

Location Address550 MAIN STREET, SUITE 230New Brighton, MN 55112

Mailing Address550 Main Street, Suite 230New Brighton, MN 55112 · (612) 326-7558 · Fax (612) 454-2087

Phone(612) 326-7558

Fax(612) 454-2087

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1994

Enumeration DateJuly 7, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1104858612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MN · 49329✔ Licensed in VT · 042-0010705

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

550 MAIN STREET, New Brighton, MN 55112

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Other Names 1

Other Name (5)Dr. Bud Wayne Ingram-lile M.d.

Other Identifiers 3

Other042-0010705VT · Vermont State License

Medicaid1010386MN

Medicaid1010386VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, HealthPartners, Sanford Health Plan.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

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.

PECOS PAC ID4587658893

PECOS Enrollment IDI20231228002069

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 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.

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.

161 services56 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.

111 services59 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.

30 services30 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320002

Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County

Emergency services Birthing friendly

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.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

93.21/100

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

Scored through an Alternative Payment Model

Quality

86.43

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

AVALON PROGRAMS, LLC

Substance Abuse Rehabilitation Facility

550 MAIN STREET, SUITE 240
NEW BRIGHTON, MN 55112

Ramsey County (651) 647-0095

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.

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.

Is Buddy Lile affiliated with any hospitals?

According to CMS data, Buddy Lile is affiliated with Christus St Vincent Regional Medical Center.

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.