DR. JASON SCOTT LILLY DMD
NPI 1912226895
Dentist - Oral and Maxillofacial Surgery in Clarksville, TN

Active since May 18, 2010Opted out of Medicare · through Jul 26, 2027
2285 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043(931) 552-3292(931) 552-3243 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Apr 24, 2024, Nov 7, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Jason Scott Lilly Dmd NPPES

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

DR. JASON SCOTT LILLY DMD (NPI 1912226895) is an individual oral and maxillofacial surgery provider in Clarksville, Tennessee, licensed in Tennessee (TN9847) and active in the NPI registry since May 2010. He has opted out of Medicare through July 26, 2027 and remains eligible to order and refer and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912226895
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JASON SCOTT LILLYCredential: DMD
Location Address2285 RUDOLPHTOWN RDClarksville, TN 37043
Mailing Address2285 Rudolphtown RdClarksville, TN 37043 · (931) 552-3292 · Fax (931) 552-3243
Fax(931) 552-3243
Sole ProprietorNo
Enumeration DateMay 18, 2010
Last NPPES UpdateJune 24, 20244 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1912226895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in TN · TN9847 Licensed in TN · 9847 Licensed in KY · 11096
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2285 RUDOLPHTOWN RD, Clarksville, TN 37043

Secondary Practice Locations 4

Location 11275 Parkway PlClarksville, TN 37042-8402 · Phone (931) 552-3292
Location 24515 Churchman AveLouisville, KY 40215-1172 · Phone (859) 278-9376
Location 36225 W Highway 146Crestwood, KY 40014-7595 · Phone (859) 278-9376
Location 42524 Highway 49 E Ste CPleasant View, TN 37146-7200 · Phone (931) 552-3292

Accepted Insurance

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. Jason Scott Lilly Dmd 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 July 26, 2023 through July 26, 2027.

Opt-Out Effective DateJuly 26, 2023
Opt-Out In Effect ThroughJuly 26, 2027Opt-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 37043 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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

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

Oral & Maxillofacial Surgery
2285 RUDOLPHTOWN RD, SUITE 200
CLARKSVILLE, TN 37043

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 Jason Lilly's NPI number?

The NPI number for Jason Lilly is 1912226895. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Jason Lilly located?

Jason Lilly practices at 2285 Rudolphtown Rd, Clarksville, TN 37043. The listed phone number is (931) 552-3292.

What is Jason Lilly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jason Lilly enrolled in Medicare?

No. Jason Lilly has opted out of Medicare through July 26, 2027. 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.

What insurance does Jason Lilly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jason 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 Jason Lilly was last updated on June 24, 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.