JOHN RICHARD LILLY MD
NPI 1528051711
Family Medicine in Hyattsville, MD

Active since August 24, 2005PECOS Enrolled
96.2/100
CMS Quality Rating
5804 BALTIMORE AVE, HYATTSVILLE, MD 20781(301) 927-7800(301) 927-0375 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Richard Lilly Md NPPES

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

JOHN RICHARD LILLY MD (NPI 1528051711) is an individual family medicine provider in Hyattsville, Maryland, licensed in Maryland (D09357) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528051711
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN RICHARD LILLYCredential: MD
Location Address5804 BALTIMORE AVEHyattsville, MD 20781-1623
Mailing Address5804 Baltimore AveHyattsville, MD 20781-1623 · (301) 927-7800 · Fax (301) 927-0375
Fax(301) 927-0375
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateFebruary 22, 2016
NPI 1528051711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D09357
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.
5804 BALTIMORE AVE, Hyattsville, MD 20781

Other Names 1

Professional Name (2)J Richard Lilly Md

Other Identifiers 3

Medicare PIN21495YECDMD
Medicare UPIND09277
Medicare PIN047349L88DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Richard Lilly 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 20781 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

96.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost70.67

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%619 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
99%178 patients5/55-star benchmark: 98%
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 6

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
14 suppliers41 claims101 services$5.32 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims16 services$1.07 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers12 claims360 services$4.49 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$41.68 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.06 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 6

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

Nurse Practitioner (Adult Health)
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781
General Practice
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781
Nurse Practitioner (Family)
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781
Pediatrics
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781
Internal Medicine
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781
Urology
5804 BALTIMORE AVE
HYATTSVILLE, MD 20781

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 John Lilly's NPI number?

The NPI number for John Lilly is 1528051711. It was assigned to this individual provider in the NPPES registry on August 24, 2005. The provider is also known as J Richard Lilly MD.

Where is John Lilly located?

John Lilly practices at 5804 Baltimore Ave, Hyattsville, MD 20781. The listed phone number is (301) 927-7800.

What is John Lilly's specialty?

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

Is John Lilly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Lilly was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.