DR. LILLY J RANDOLPH MD
NPI 1467402446
Internal Medicine in Columbia, SC

Active since May 11, 2006PECOS Enrolled
2719 MIDDLEBURG DR, SUITE 103, COLUMBIA, SC 29204(803) 931-8337(803) 931-8338 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lilly J Randolph Md NPPES

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

DR. LILLY J RANDOLPH MD (NPI 1467402446) is an individual internal medicine provider in Columbia, South Carolina, licensed in South Carolina (159928) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467402446
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LILLY J RANDOLPHCredential: MD
Location Address2719 MIDDLEBURG DR, SUITE 103Columbia, SC 29204-2414
Mailing Address105 Pinckney DrColumbia, SC 29209-4824 · (803) 783-8327
Fax(803) 931-8338
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 31, 2011
NPI 1467402446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 159928
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2719 MIDDLEBURG DR, Columbia, SC 29204

Other Identifiers 3

Medicare ID-Type Unspecified7131SC · Local
Other1467402446SC · Dba Physicians Medical Group Of South Carolina
Medicare UPIND88671SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lilly J Randolph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%35 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.46 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 5

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

Clinic/Center (Primary Care)
2719 MIDDLEBURG DR, SUITE 201
COLUMBIA, SC 29204
Internal Medicine
2719 MIDDLEBURG DR, SUITE 201
COLUMBIA, SC 29204
Internal Medicine
2719 MIDDLEBURG DR, #204
COLUMBIA, SC 29204
Surgery
2719 MIDDLEBURG DR, SUITE 206
COLUMBIA, SC 29204
Specialist
2719 MIDDLEBURG DR, SUITE 203
COLUMBIA, SC 29204

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 Randolph's NPI number?

The NPI number for Lilly Randolph is 1467402446. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Lilly Randolph located?

Lilly Randolph practices at 2719 Middleburg Dr Suite 103, Columbia, SC 29204. The listed phone number is (803) 931-8337.

What is Lilly Randolph's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lilly Randolph enrolled in Medicare?

Yes. Lilly Randolph is registered in the Medicare PECOS enrollment system.

What insurance does Lilly Randolph accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Lilly Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lilly Randolph was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.