MICHAEL CHARLES LILLY MD
NPI 1487653978
Surgery in Lynchburg, VA

Q: What is Michael Lilly's NPI number?

The NPI number for Michael Lilly is 1487653978. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Michael Lilly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lilly was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

1906 THOMSON DR, LYNCHBURG, VA 24501(434) 200-3933(434) 200-3988 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2022, Jul 6, 2021, Feb 1, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Michael Charles Lilly Md NPPES

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

MICHAEL CHARLES LILLY MD (NPI 1487653978) is an individual surgery provider in Lynchburg, Virginia, licensed in Virginia (0101236058) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1994).

NPPES Registry Identity

NPI1487653978

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMICHAEL CHARLES LILLYCredential: MD

Location Address1906 THOMSON DRLynchburg, VA 24501-1009

Mailing Address102 Fairlea CtLynchburg, VA 24503-2163

Phone(434) 200-3933

Fax(434) 200-3988

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1994

Enumeration DateJuly 18, 2005

Last NPPES UpdateAugust 4, 20225 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1487653978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in VA · 0101236058

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1906 THOMSON DR, Lynchburg, VA 24501

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Other Identifiers 1

Medicaid1487653978VA

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

Michael Charles 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 ID4385631787

PECOS Enrollment IDI20040428000338

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 12

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 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.

40 services40 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.

31 services29 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

28 services28 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

27 services27 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

21 services21 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services11 patients

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.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

12 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490088

Location1613 Oakwood StreetBedford, VA 24523 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.44

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims240 services$4.51 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$5.64 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

CENTRA MEDICAL GROUP, LLC

Colon & Rectal Surgery

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 947-3933

THE ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA, INC.

Durable Medical Equipment & Medical Supplies

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 845-7035

DR. LUCIUS DUBIGNON CLAY III MD

Surgery

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 947-3950

SYDNEY OZMAR PA-C

Physician Assistant

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 200-4938

WILLIAM L KITTRELL JR. MD

Surgery

1906 THOMSON DR, CENTRAL VIRGINIA SURGERY
LYNCHBURG, VA 24501

Campbell County (434) 947-3933

MRS. GABRIELLE MONIQUE RHODES CRAWFORD FNP

Nurse Practitioner (Family)

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 200-3933

LYNCHBURG SURGICAL ASSOCIATES, INC.

Surgery

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 947-3950

JOHN L GUGLIELMETTI JR. MD

Surgery

1906 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 947-3933

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 Michael Lilly's NPI number?

The NPI number for Michael Lilly is 1487653978. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Michael Lilly located?

Michael Lilly practices at 1906 Thomson Dr, Lynchburg, VA 24501. The listed phone number is (434) 200-3933.

What is Michael Lilly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Lilly enrolled in Medicare?

Yes. Michael 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.

Is Michael Lilly affiliated with any hospitals?

According to CMS data, Michael Lilly is affiliated with Centra Health - Lynchburg Gen Hospital and Centra Bedford Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lilly was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.