KATHRYN M LILLY D.O.
NPI 1861873408
Pediatrics in Sheboygan, WI

Q: What is Kathryn Lilly's NPI number?

The NPI number for Kathryn Lilly is 1861873408. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Q: What is Kathryn Lilly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Lilly was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2015PECOS Enrolled

2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Nov 18, 2021, Aug 22, 2019 and 1 more (4 updates tracked since 2018).

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About Kathryn M Lilly D.o. NPPES

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

KATHRYN M LILLY D.O. (NPI 1861873408) is an individual pediatrics provider in Sheboygan, Wisconsin, licensed in Wisconsin (69458) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861873408

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHRYN M LILLYCredential: D.O.

Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 457-4461

Sole ProprietorNo

Enumeration DateJune 9, 2015

Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1861873408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 69458

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

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Other Identifiers 1

Medicaid100079601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Kathryn M Lilly D.o. 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 53081 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

LAURA J MARKHAM PT

Physical Therapist