DR. LILY GIRSON MD - NPI 1326574401 - Family Medicine in Oakmont, PA

Q: What is Lily Girson's NPI number?

The NPI number for Lily Girson is 1326574401. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Q: What is Lily Girson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Lily Girson enrolled in Medicare?

No. Lily Girson has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lily Girson was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Dr. Lily Girson Md NPPES

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

DR. LILY GIRSON MD (NPI 1326574401) is an individual family medicine provider in Oakmont, Pennsylvania, licensed in Pennsylvania (MD471228) and active in the NPI registry since May 2017. She has opted out of Medicare through April 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326574401

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LILY GIRSONCredential: MD

Location Address222 ALLEGHENY RIVER BLVDOakmont, PA 15139-1848

Mailing Address222 Allegheny River BlvdOakmont, PA 15139-1848 · (412) 767-5387

Phone(412) 767-5387

Sole ProprietorYes

Enumeration DateMay 10, 2017

Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2020

✔ NPI 1326574401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD471228

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.

222 ALLEGHENY RIVER BLVD, Oakmont, PA 15139

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lily Girson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2024 through April 22, 2028.

Opt-Out Effective DateApril 22, 2024

Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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.

19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15139 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 6

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

DEER LAKES MEDICAL ASSOCIATION

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