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CHARLES J LILLY MD PC
NPI 1619167996
Orthopaedic Surgery in Mount Pleasant, MI

Active since August 01, 2007
2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858(989) 772-3886(989) 773-6267 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles J Lilly Md Pc NPPES

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

CHARLES J LILLY MD PC (NPI 1619167996) is a healthcare organization registered as an orthopaedic surgery in Mount Pleasant, Michigan and active in the NPI registry since August 2007. The organization lists Charles J Lilly, Doctor, as its authorized official.

NPPES Registry Identity

NPI1619167996
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCHARLES J LILLY MD PC
Location Address2890 HEALTH PARKWAYMount Pleasant, MI 48858
Mailing Address2890 Health ParkwayMount Pleasant, MI 48858 · (989) 772-3886 · Fax (989) 773-6267
Phone(989) 772-3886
Fax(989) 773-6267
Organization SubpartNo
Authorized OfficialCharles J LillyDoctor · (989) 772-3886
Enumeration DateAugust 1, 2007
Last NPPES UpdateSeptember 30, 2008
✔ NPI 1619167996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301048544
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2890 HEALTH PARKWAY, Mount Pleasant, MI 48858
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Other Identifiers 4

Other0370822MI · Blue Cross Blue Shield
Medicare UPINB46584MI
Medicaid1644906MI
Medicare PIN0P55540MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles J Lilly MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Lilly, M.D.
Orthopedic Surgery
NPI 1043311848
2890 HEALTH PARKWAY
Mount Pleasant, MI 48858
(989) 772-3886
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles J Lilly MD PC's NPI number?

The NPI number for Charles J Lilly MD PC is 1619167996. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Charles J Lilly MD PC located?

Charles J Lilly MD PC is located at 2890 Health Parkway, Mount Pleasant, MI 48858. The listed phone number is (989) 772-3886.

What is Charles J Lilly MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles J Lilly MD PC enrolled in Medicare?

Yes. Charles J Lilly MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles J Lilly MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Charles J Lilly MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles J Lilly MD PC accept?

Health plans from Blue Care Network of Michigan list Charles J Lilly MD PC 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 Charles J Lilly MD PC was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.