Active NPI 1609121607 Individual Practitioner Male Practitioner

Dustin Lucas Lilly , PA-C

Physician Assistant • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Dustin Lilly, PA-C is a registered healthcare professional specializing in Physician Assistant in Gainesville, FL. Practice services are available at 4500 W NEWBERRY RD under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, established patient outpatient office visit, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 W Newberry Rd

Gainesville, FL 326072245

Telephone 3523366000

Fax 3523320799

Associated Practice Facility / Clinic

🏢 Select Physical Therapy Holdings Inc Facility NPI 1285603506

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.8 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

439 Specialists

Practicing in Gainesville, FL (10376 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	840	11	$51.57	$7.34
99213 Established patient office or other outpatient visit, typically 15 minutes	69	65	$220.00	$74.37
73564 X-ray of knee, 4 or more views	64	49	$137.00	$36.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	14	$21.00	$6.60
20610 Aspiration and/or injection of fluid from large joint	26	26	$498.58	$60.83
73030 X-ray of shoulder, minimum of 2 views	25	23	$107.00	$28.18
73502 X-ray of hip, 2-3 views	16	16	$123.00	$38.12
27447 Replacement of knee joint, both sides of knee	14	14	$586.00	$175.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$328.00	$91.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$325.00	$106.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	353	262	$220.00	$75.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	340	68	$21.00	$6.69
73564 X-ray of knee, 4 or more views	244	161	$137.00	$37.98
20610 Aspiration and/or injection of fluid from large joint	132	107	$506.26	$63.00
73030 X-ray of shoulder, minimum of 2 views	89	66	$107.00	$28.64
73502 X-ray of hip, 2-3 views	73	58	$123.00	$38.50
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	72	42	$2339.00	$761.69
27447 Replacement of knee joint, both sides of knee	64	63	$586.00	$179.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$325.00	$107.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$132.00	$47.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$328.00	$93.88
27130 Replacement of thigh bone and hip joint with prosthesis	35	33	$1517.00	$181.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$185.00	$24.57
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$451.00	$144.71
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$264.00	$20.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$501.00	$141.97
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$629.00	$195.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	260	56	$21.00	$7.39
99213 Established patient office or other outpatient visit, typically 15 minutes	210	183	$220.00	$77.89
73564 X-ray of knee, 4 or more views	126	102	$137.00	$38.02
27447 Replacement of knee joint, both sides of knee	87	86	$586.00	$184.56
20610 Aspiration and/or injection of fluid from large joint	73	70	$474.55	$59.51
73030 X-ray of shoulder, minimum of 2 views	49	41	$107.00	$28.23
27130 Replacement of thigh bone and hip joint with prosthesis	49	49	$1517.00	$184.76
73502 X-ray of hip, 2-3 views	40	35	$123.00	$38.08
29827 Repair of shoulder rotator cuff using an endoscope	38	37	$451.00	$147.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	37	36	$185.00	$25.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$328.00	$96.50
29823 Removal of extensive shoulder joint tissue using an endoscope	27	27	$264.00	$16.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$325.00	$110.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$132.00	$47.70
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$629.00	$207.87
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	17	16	$2339.00	$775.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	111	105	$586.00	$197.22
27130 Replacement of thigh bone and hip joint with prosthesis	79	76	$1505.22	$197.68
29827 Repair of shoulder rotator cuff using an endoscope	44	44	$451.00	$152.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	43	43	$185.00	$25.14
29823 Removal of extensive shoulder joint tissue using an endoscope	31	31	$264.00	$24.98
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$629.00	$211.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	155	150	$586.00	$193.23
27130 Replacement of thigh bone and hip joint with prosthesis	87	86	$1517.00	$195.04
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	40	40	$177.90	$25.48
29827 Repair of shoulder rotator cuff using an endoscope	40	40	$451.00	$150.15
29823 Removal of extensive shoulder joint tissue using an endoscope	33	33	$263.33	$22.51
23472 Prosthetic repair of shoulder joint, total shoulder	29	29	$629.00	$205.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	166	162	$843.92	$196.59
27130 Replacement of thigh bone and hip joint with prosthesis	86	85	$858.96	$192.24
29827 Repair of shoulder rotator cuff using an endoscope	42	41	$523.43	$142.70
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	41	41	$274.20	$24.86
23472 Prosthetic repair of shoulder joint, total shoulder	28	28	$775.14	$201.06
29823 Removal of extensive shoulder joint tissue using an endoscope	27	27	$339.89	$22.65
27245 Treatment of broken neck of thigh bone with bone implant	22	22	$638.95	$174.12
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$707.37	$169.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	167	166	$1555.00	$194.65
27130 Replacement of thigh bone and hip joint with prosthesis	85	82	$1517.00	$191.40
29827 Repair of shoulder rotator cuff using an endoscope	38	38	$1150.00	$143.54
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	38	38	$752.00	$25.14
23472 Prosthetic repair of shoulder joint, total shoulder	35	32	$1403.00	$205.26
27245 Treatment of broken neck of thigh bone with bone implant	35	35	$998.00	$173.40
29823 Removal of extensive shoulder joint tissue using an endoscope	28	28	$763.00	$19.42
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$963.00	$168.40
27447 Replacement of knee joint, both sides of knee	12	12	$1555.00	$185.82

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106670

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Donald Trimble , DO

Orthopaedic Surgery

NPI 1043216864

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Weiss , MD

Internal Medicine - Sports Medicine

NPI 1043352982

Doctor of Medicine (M.D.)

Stephanie Foreman , OT

Occupational Therapist

NPI 1043475650

Occupational Therapist

Dr. James Slattery , MD

Orthopaedic Surgery - Hand Surgery

NPI 1053317875

Doctor of Medicine (M.D.)

Daniel Lombardo

Orthopaedic Surgery

NPI 1053706333

Dr. James Vogler , MD

Radiology - Diagnostic Radiology

NPI 1073565693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2015

Registered at 4500 W NEWBERRY RD, GAINESVILLE, FL 326072245 (Tel: 3523366000)

📍

Updated Business Mailing Address February 19, 2015

Registered at 4500 W NEWBERRY RD, GAINESVILLE, FL 326072245 (Tel: 3523366000)

👤

Provider Name / Credentials Updated February 19, 2015

Recorded as DUSTIN LILLY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2015

Physician Assistant (License #PA9106670 in FL)

🟢

Initial NPI Registration & Enumeration July 17, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609121607

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2012

Last Update: February 19, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 W Newberry Rd

Gainesville, FL 326072245

Phone: 3523366000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.