DR. JOHN D. LILLY DO
NPI 1699816298
Family Medicine in Springfield, MO

Active since February 08, 2007Opted out of Medicare · through Oct 13, 2026
33.67/100
CMS Quality Rating
2730 E SUNSHINE ST, SPRINGFIELD, MO 65804(417) 883-0600(417) 883-9443 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John D. Lilly Do NPPES

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

DR. JOHN D. LILLY DO (NPI 1699816298) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (113004) and active in the NPI registry since February 2007. He has opted out of Medicare through October 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699816298
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN D. LILLYCredential: DO
Location Address2730 E SUNSHINE STSpringfield, MO 65804-2047
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Fax(417) 883-9443
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 2, 2013
NPI 1699816298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 113004
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.
2730 E SUNSHINE ST, Springfield, MO 65804

Other Identifiers 4

Medicaid244015921MO
Medicare PIN259013268MO
Other98752MO · Ar Blue Shield #
Medicare UPING92162MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John D. Lilly Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 13, 2022 through October 13, 2026.

Opt-Out Effective DateOctober 13, 2022
Opt-Out In Effect ThroughOctober 13, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

33.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.06
Promoting Interoperability0
Improvement Activities20
Cost67.19

Referred Medical Equipment & Supplies CMS DME claims 5

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

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$86.15 avg. paid by Medicare
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
2 suppliers15 claims15 services$210.06 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$136.92 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$21.36 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 7

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

Family Medicine
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Family)
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Family Medicine
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Primary Care)
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Family Medicine
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804
Family Medicine
2730 E SUNSHINE ST
SPRINGFIELD, MO 65804

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 1699816298. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is John Lilly located?

John Lilly practices at 2730 E Sunshine St, Springfield, MO 65804. The listed phone number is (417) 883-0600.

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?

No. John Lilly has opted out of Medicare through October 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Lilly was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.