DR. LILLIAN CAROLINA MD
NPI 1194076729
Family Medicine in Oceanside, NY

Q: What is Lillian Carolina's NPI number?

The NPI number for Lillian Carolina is 1194076729. It was assigned to this individual provider in the NPPES registry on September 22, 2012.

Q: What is Lillian Carolina'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 Lillian Carolina was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 22, 2012PECOS Enrolled

84.14/100

CMS Quality Rating

1 HEALTHY WAY, OCEANSIDE, NY 11572(516) 255-8400 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Lillian Carolina Md NPPES

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

DR. LILLIAN CAROLINA MD (NPI 1194076729) is an individual family medicine provider in Oceanside, New York, licensed in New York (265572) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2009).

NPPES Registry Identity

NPI1194076729

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LILLIAN CAROLINACredential: MD

Location Address1 HEALTHY WAYOceanside, NY 11572-1551

Mailing Address1 Healthy WayOceanside, NY 11572-1551 · (516) 255-8400

Phone(516) 255-8400

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2009

Enumeration DateSeptember 22, 2012

Last NPPES UpdateDecember 8, 2015

✔ NPI 1194076729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 265572

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.

1 HEALTHY WAY, Oceanside, NY 11572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lillian Carolina Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557503059

PECOS Enrollment IDI20130813000577

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.

Medicare Billing Reassignments

Medicare enrollment records show Lillian Carolina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Urgent Care, PLLC

11 mi

Urgent Care

555 N BROADWAY
Jericho, NY 11753

Reassigned Medicare billing, New York enrollment
413 clinicians in this Medicare group

NPI 1285975797 (516) 622-6000

Icahn School Of Medicine At Mount Sinai

20 mi

Internal Medicine

222 WEST 14TH STREET
New York, NY 10011

Reassigned Medicare billing, New York enrollment
309 clinicians in this Medicare group

NPI 1568841930 (212) 604-1800

Optum Medical Care, P.C.

38 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

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 7

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 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.

311 services266 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

112 services107 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

98 services47 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

60 services51 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.

44 services44 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11572 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

84.14/100

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

Scored as part of a group practice

Quality

78.11

Promoting Interoperability

100

Improvement Activities

Cost

69.05

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.

DR. BENJAMIN WALLBRUNN FELDER DO

Internal Medicine