DR. NICHOLAS LILLO M.D.
NPI 1144482308
Internal Medicine - Gastroenterology in Fairfield, CT

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
425 POST RD, FAIRFIELD, CT 06824(203) 374-4966 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas Lillo M.d. NPPES

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

DR. NICHOLAS LILLO M.D. (NPI 1144482308) is an individual gastroenterology provider in Fairfield, Connecticut, licensed in Connecticut (051628) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manhasset, and is a graduate of State University Of New York Downstate Medical Center (2007).

NPPES Registry Identity

NPI1144482308
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NICHOLAS LILLOCredential: M.D.
Location Address425 POST RDFairfield, CT 06824-6232
Mailing Address425 Post RdFairfield, CT 06824-6232 · (203) 374-4966
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2007
Enumeration DateJune 30, 2008
Last NPPES UpdateMay 12, 2020
NPPES CertifiedMay 12, 2020
NPI 1144482308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CT · 051628
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

425 POST RD, Fairfield, CT 06824

Secondary Practice Location 1

Location 1300 Community Dr, Dept of MedicineManhasset, NY 11030-3816 · Phone (516) 562-0100

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

Dr. Nicholas Lillo 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 ID42453003
PECOS Enrollment IDI20130823000870
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 12

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.
117 services100 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
90 services90 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
74 services72 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
74 services74 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.
44 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
425 POST RD
FAIRFIELD, CT 06824
Physician Assistant
425 POST RD
FAIRFIELD, CT 06824
Physician Assistant
425 POST RD
FAIRFIELD, CT 06824
Internal Medicine (Hematology & Oncology)
425 POST RD
FAIRFIELD, CT 06824
Physician Assistant (Medical)
425 POST RD
FAIRFIELD, CT 06824
Specialist
425 POST RD
FAIRFIELD, CT 06824
Specialist
425 POST RD
FAIRFIELD, CT 06824
Specialist
425 POST RD
FAIRFIELD, CT 06824

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 Nicholas Lillo's NPI number?

The NPI number for Nicholas Lillo is 1144482308. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Nicholas Lillo located?

Nicholas Lillo practices at 425 Post Rd, Fairfield, CT 06824. The listed phone number is (203) 374-4966.

What is Nicholas Lillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicholas Lillo enrolled in Medicare?

Yes. Nicholas Lillo 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.

When was this NPI record last updated?

The NPPES record for Nicholas Lillo was last updated on May 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.