KATHARINA F LILLY MD
NPI 1891992772
Family Medicine in Portsmouth, NH

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
25 NEW HAMPSHIRE AVE, SUITE 100, PORTSMOUTH, NH 03801(603) 431-2516(603) 431-9945 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2017, Nov 4, 2016 (2 updates tracked since 2016).

About Katharina F Lilly Md NPPES

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

KATHARINA F LILLY MD (NPI 1891992772) is an individual family medicine provider in Portsmouth, New Hampshire, licensed in New Hampshire (13594) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891992772
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHARINA F LILLYCredential: MD
Location Address25 NEW HAMPSHIRE AVE, SUITE 100Portsmouth, NH 03801-2841
Mailing Address25 New Hampshire Ave, Suite 100Portsmouth, NH 03801-2841 · (603) 431-2516 · Fax (603) 431-9945
Fax(603) 431-9945
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 2, 2007
Last NPPES UpdateFebruary 24, 20172 updates tracked since enumeration
NPI 1891992772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NH · 13594
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.
25 NEW HAMPSHIRE AVE, Portsmouth, NH 03801

Other Identifiers 3

Medicare PINP00627357NH
Medicare PIN000343501NH
Medicaid3088636NH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katharina F Lilly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305935016
PECOS Enrollment IDI20071204000122
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 10

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

Hospice Care, Community Based
25 NEW HAMPSHIRE AVE, SUITE 272
PORTSMOUTH, NH 03801
Clinic/Center (Occupational Medicine)
25 NEW HAMPSHIRE AVE, SUITE 105
PORTSMOUTH, NH 03801
Family Medicine
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Home Health
25 NEW HAMPSHIRE AVE, SUITE 270
PORTSMOUTH, NH 03801
Nurse Practitioner (Family)
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Preventive Medicine (Public Health & General Preventive Medicine)
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Home Health
25 NEW HAMPSHIRE AVE, SUITE 270
PORTSMOUTH, NH 03801
Internal Medicine
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801

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 Katharina Lilly's NPI number?

The NPI number for Katharina Lilly is 1891992772. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Katharina Lilly located?

Katharina Lilly practices at 25 New Hampshire Ave Suite 100, Portsmouth, NH 03801. The listed phone number is (603) 431-2516.

What is Katharina Lilly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katharina Lilly enrolled in Medicare?

Yes. Katharina Lilly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katharina Lilly accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katharina 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.

Is Katharina Lilly affiliated with any hospitals?

According to CMS data, Katharina Lilly is affiliated with York Hospital, Wentworth-Douglass Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Katharina Lilly was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.