MATTHEW NEIL LILLY MD
NPI 1346571643
Psychiatry & Neurology - Psychiatry in Morgan Hill, CA

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment
18217 HALE AVE, MORGAN HILL, CA 95037(408) 465-8280 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Jul 21, 2022, Sep 13, 2017 (3 updates tracked since 2017).

About Matthew Neil Lilly Md NPPES

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

MATTHEW NEIL LILLY MD (NPI 1346571643) is an individual psychiatry provider in Morgan Hill, California, licensed in California (A127216) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346571643
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATTHEW NEIL LILLYCredential: MD
Location Address18217 HALE AVEMorgan Hill, CA 95037-3550
Mailing Address18225 Hale AveMorgan Hill, CA 95037-3547 · (408) 465-8280
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 26, 2010
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1346571643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A127216
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
18217 HALE AVE, Morgan Hill, CA 95037

Secondary Practice Locations 3

Location 19343 Tech Center Dr Ste 110Sacramento, CA 95826-2592 · Phone (408) 465-0456
Location 24604A Roosevelt AveSacramento, CA 95820-4520 · Phone (408) 465-0456
Location 3215 Huerta AveGreenfield, CA 93927-5762 · Phone (408) 465-0456

Other Identifiers 2

MedicaidENROLLEDMN
MedicaidENROLLEDIA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Neil Lilly 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 ID7315081387
PECOS Enrollment IDI20131227000312
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

6

Medicare enrollment records show Matthew Lilly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
18217 HALE AVE
Morgan Hill, CA 95037
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
220 W 11TH ST
Tracy, CA 95376
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
365 TUOLUMNE ST
Vallejo, CA 94590
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
Adolescent and Children Mental Health
425 PINE ST STE 2
Galt, CA 95632
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Sacramento
  • 45 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
805 4TH ST
Paso Robles, CA 93446
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2611 N DINUBA BLVD
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group

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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
138 services29 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95037 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers30 claims63 services$4.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims29 services$0.69 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.

Student in an Organized Health Care Education/Training Program
18217 HALE AVE
MORGAN HILL, CA 95037
Licensed Vocational Nurse
18217 HALE AVE
MORGAN HILL, CA 95037
Licensed Vocational Nurse
18217 HALE AVE
MORGAN HILL, CA 95037
Licensed Vocational Nurse
18217 HALE AVE
MORGAN HILL, CA 95037
Peer Specialist
18217 HALE AVE
MORGAN HILL, CA 95037
Licensed Psychiatric Technician
18217 HALE AVE, PSYNERGY PROGRAMS - MORGAN HILL
MORGAN HILL, CA 95037
Licensed Vocational Nurse
18217 HALE AVE
MORGAN HILL, CA 95037
Counselor (Mental Health)
18217 HALE AVE
MORGAN HILL, CA 95037

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 Matthew Lilly's NPI number?

The NPI number for Matthew Lilly is 1346571643. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Matthew Lilly located?

Matthew Lilly practices at 18217 Hale Ave, Morgan Hill, CA 95037. The listed phone number is (408) 465-8280.

What is Matthew Lilly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Lilly enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lilly reassigns Medicare benefits to 6 organizations: Psynergy Programs Inc. (Morgan Hill, CA), San Joaquin County Behavioral Health Services (Tracy, CA), County Of Solano (Vallejo, CA), Visions Unlimited, Inc. (Galt, CA), County Of San Luis Obispo (Paso Robles, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Lilly was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.