DR. JEFFREY CLAYPOOL LILLY M.D.
NPI 1154423911
Internal Medicine - Critical Care Medicine in Plano, TX

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093(972) 758-6000(972) 758-6001 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Claypool Lilly M.d. NPPES

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

DR. JEFFREY CLAYPOOL LILLY M.D. (NPI 1154423911) is an individual critical care medicine provider in Plano, Texas, licensed in Texas (M4291) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Centennial, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2004).

NPPES Registry Identity

NPI1154423911
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JEFFREY CLAYPOOL LILLYCredential: M.D.
Location Address4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1Plano, TX 75093-5339
Mailing Address4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1Plano, TX 75093-5339 · (972) 758-6000 · Fax (972) 758-6001
Fax(972) 758-6001
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2004
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJanuary 24, 2011
NPI 1154423911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in TX · M4291
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License M4291 (TX)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License M4291 (TX)
4708 ALLIANCE BLVD STE 300, Plano, TX 75093

Other Identifiers 3

Medicare PIN8L13405TX
Other8BG115TX · Bcbstx
Medicaid202792201TX

Accepted 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

Dr. Jeffrey Claypool Lilly 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 ID9638228208
PECOS Enrollment IDI20090601000555
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
503 services224 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
286 services165 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
275 services168 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
117 services116 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
96 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services65 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier24 claims24 services$913.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatric Hospital
4708 ALLIANCE BLVD STE 300
PLANO, TX 75093
Internal Medicine
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Internal Medicine
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Internal Medicine
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Internal Medicine (Gastroenterology)
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Internal Medicine
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Internal Medicine
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Psychiatry & Neurology (Psychiatry)
4708 ALLIANCE BLVD STE 300
PLANO, TX 75093

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 Jeffrey Lilly's NPI number?

The NPI number for Jeffrey Lilly is 1154423911. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Jeffrey Lilly located?

Jeffrey Lilly practices at 4708 Alliance Blvd Ste 300 Baylor Medical Plaza 1, Plano, TX 75093. The listed phone number is (972) 758-6000.

What is Jeffrey Lilly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jeffrey Lilly enrolled in Medicare?

Yes. Jeffrey Lilly 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 Jeffrey Lilly accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Jeffrey 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.

Is Jeffrey Lilly affiliated with any hospitals?

According to CMS data, Jeffrey Lilly is affiliated with Baylor Scott & White Medical Center - Centennial, Baylor Scott & White Medical Center Plano, The Heart Hospital Baylor Denton and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Jeffrey Lilly was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.