LILLY KATHERINE MCGONEGAL PA
NPI 1255153045
Physician Assistant - Surgical in Medford, OR

Active since October 31, 2024PECOS EnrolledAccepts Medicare Assignment
2900 STATE ST, MEDFORD, OR 97504(541) 779-1672 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lilly Katherine Mcgonegal Pa NPPES

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

LILLY KATHERINE MCGONEGAL PA (NPI 1255153045) is an individual surgical provider in Medford, Oregon and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255153045
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLILLY KATHERINE MCGONEGALCredential: PA
Location Address2900 STATE STMedford, OR 97504-8458
Mailing Address2900 State StMedford, OR 97504-8458 · (541) 779-1672
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1255153045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2900 STATE ST, Medford, OR 97504

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

Lilly Katherine Mcgonegal Pa 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 ID2163939877
PECOS Enrollment IDI20250728003510
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.

Hospital Affiliations CMS Care Compare 4

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

Other Providers at the Same Location NPPES 18

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

Neurological Surgery
2900 STATE ST
MEDFORD, OR 97504
Neurological Surgery
2900 STATE ST
MEDFORD, OR 97504
Psychiatry & Neurology (Neurology)
2900 STATE ST
MEDFORD, OR 97504
Physician Assistant (Surgical)
2900 STATE ST
MEDFORD, OR 97504
Physician Assistant
2900 STATE ST
MEDFORD, OR 97504
Physician Assistant (Surgical)
2900 STATE ST
MEDFORD, OR 97504
Psychiatry & Neurology (Neurology)
2900 STATE ST
MEDFORD, OR 97504
Physician Assistant (Surgical)
2900 STATE ST
MEDFORD, OR 97504

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 Lilly Mcgonegal's NPI number?

The NPI number for Lilly Mcgonegal is 1255153045. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Lilly Mcgonegal located?

Lilly Mcgonegal practices at 2900 State St, Medford, OR 97504. The listed phone number is (541) 779-1672.

What is Lilly Mcgonegal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lilly Mcgonegal enrolled in Medicare?

Yes. Lilly Mcgonegal 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.

Is Lilly Mcgonegal affiliated with any hospitals?

According to CMS data, Lilly Mcgonegal is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital, Asante Rogue Regional Medical Center and Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Lilly Mcgonegal was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.