ALBERT JACKSON LILLY III MD
NPI 1285677955
Emergency Medicine in Bend, OR

Q: What is Albert Lilly's NPI number?

The NPI number for Albert Lilly is 1285677955. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Albert Lilly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Albert Lilly was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

61250 SE COOMBS PL, BEND, OR 97702(541) 706-5930(541) 706-5931 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2020, Feb 5, 2016 (2 updates tracked since 2016).

On this page

About Albert Jackson Lilly Iii Md NPPES

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

ALBERT JACKSON LILLY III MD (NPI 1285677955) is an individual emergency medicine provider in Bend, Oregon, licensed in Oregon (MD22604) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Eastern Virginia Medical School (1997).

NPPES Registry Identity

NPI1285677955

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameALBERT JACKSON LILLY IIICredential: MD

Location Address61250 SE COOMBS PLBend, OR 97702-3704

Mailing AddressPo Box 5579Bend, OR 97708-5579 · (541) 706-3700 · Fax (541) 706-3730

Phone(541) 706-5930

Fax(541) 706-5931

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1997

Enumeration DateJune 13, 2006

Last NPPES UpdateApril 17, 20202 updates tracked since enumeration

NPPES CertifiedApril 17, 2020

✔ NPI 1285677955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OR · MD22604

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

61250 SE COOMBS PL, Bend, OR 97702

Open in Google Maps ↗

Other Identifiers 1

Medicaid958936AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence 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

Albert Jackson Lilly Iii Md 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 ID2860424090

PECOS Enrollment IDI20071108000291

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 5

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.

104 services102 patients

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.

60 services57 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.

20 services20 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.

16 services16 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

SARAH DODGE MORRISON M.D.

Pediatrics