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DUSTIN LUCAS LILLY PA-C
NPI 1609121607
Physician Assistant in Gainesville, FL

Active since July 17, 2012PECOS Enrolled
97.45/100
CMS Quality Rating
4500 W NEWBERRY RD, GAINESVILLE, FL 32607(352) 336-6000(352) 332-0799 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Lucas Lilly Pa-c NPPES

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

DUSTIN LUCAS LILLY PA-C (NPI 1609121607) is an individual physician assistant in Gainesville, Florida, licensed in Florida (PA9106670) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609121607
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDUSTIN LUCAS LILLYCredential: PA-C
Location Address4500 W NEWBERRY RDGainesville, FL 32607-2245
Mailing Address4500 W Newberry RdGainesville, FL 32607-2245 · (352) 336-6000 · Fax (352) 332-0799
Phone(352) 336-6000
Fax(352) 332-0799
Sole ProprietorNo
Enumeration DateJuly 17, 2012
Last NPPES UpdateFebruary 19, 2015
✔ NPI 1609121607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106670
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4500 W NEWBERRY RD, Gainesville, FL 32607
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Other Identifiers 1

Medicare PINGH514ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Dustin Lucas Lilly Pa-c 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 32607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

DONALD T TRIMBLE D.O.
Orthopaedic Surgery
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
STEPHANIE FOREMAN OT
Occupational Therapist
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
JAMES B SLATTERY M.D.
Orthopaedic Surgery (Hand Surgery)
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
DR. JAMES B VOGLER III M.D.
Radiology (Diagnostic Radiology)
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
DOUGLAS PAUL ADOLPHSON MD
Radiology (Diagnostic Radiology)
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
TRISTAN ANDREW ALTBUCH M.D.
Orthopaedic Surgery
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
KYLE SYKES
Physical Therapy Assistant
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000
DAVID LEE
Physical Therapist
4500 W NEWBERRY RD
GAINESVILLE, FL 32607
Alachua County (352) 336-6000

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 Dustin Lilly's NPI number?

The NPI number for Dustin Lilly is 1609121607. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Dustin Lilly located?

Dustin Lilly practices at 4500 W Newberry Rd, Gainesville, FL 32607. The listed phone number is (352) 336-6000.

What is Dustin Lilly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dustin Lilly enrolled in Medicare?

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

What insurance does Dustin Lilly accept?

Health plans from AvMed list Dustin Lilly 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 Dustin Lilly was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.