KATHRYN M LILLY D.O.
NPI 1861873408
Pediatrics in Sheboygan, WI
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn M Lilly D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathryn Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 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.
Where is Kathryn Lilly located?
Kathryn Lilly practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is Kathryn Lilly's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathryn Lilly enrolled in Medicare?
Yes. Kathryn Lilly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathryn Lilly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Lilly reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Kathryn Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Lilly accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kathryn 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 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.
# Kathryn M Lilly, D.O. · NPI 1861873408
Pediatrics physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since June 9, 2015.
## Identity
- **NPI:** 1861873408 (Entity type: Individual)
- **Enumerated:** June 9, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 69458 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081
- **Phone:** (920) 457-4461
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2024
- **Other identifiers:** Medicaid 100079601 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1861873408) · Data from the CMS NPPES public registry.