Active NPI 1487653978 Individual Practitioner Male Practitioner

Dr. Michael Charles Lilly , MD

Surgery • Lynchburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lilly, MD is a certified Surgery practicing in Lynchburg, VA. With approximately 32 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 1994, Dr. Lilly delivers high-quality medical care to the local community at 1906 THOMSON DR.

Dr. Lilly is affiliated with Centra Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1906 Thomson Dr

Lynchburg, VA 245011009

Telephone 4342003933

Fax 4342003988

Associated Practice Facility / Clinic

🏢 Lynchburg Surgical Associates, Inc. Facility NPI 1538250709

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lynchburg, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +3.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

17 Specialists

Practicing in Lynchburg, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lilly (32 Years) 32 Yrs

Lynchburg Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$323.00	$165.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$215.00	$110.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$252.35	$126.94
49650 Repair of groin hernia using an endoscope	28	28	$891.00	$501.24
47562 Removal of gallbladder using an endoscope	27	27	$1347.00	$645.41
76705 Limited ultrasound scan of abdomen	21	21	$57.00	$27.25
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$140.00	$71.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$109.00	$56.30
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$178.60	$90.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$264.00	$128.50
74328 Radiological supervision and interpretation of insertion of catheter into biliary duct using an endoscope	12	11	$94.00	$22.59
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$196.00	$80.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$317.00	$164.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$245.00	$126.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$211.00	$111.04
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$173.00	$89.58
47562 Removal of gallbladder using an endoscope	17	17	$1321.00	$650.50
49650 Repair of groin hernia using an endoscope	15	15	$932.27	$485.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$107.00	$56.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$75.00	$48.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$414.90	$168.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$313.91	$113.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	28	$213.50	$71.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$309.43	$127.97
47562 Removal of gallbladder using an endoscope	36	36	$1965.17	$702.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	32	$315.00	$103.09
76998 Ultrasonic guidance during surgery	31	31	$495.00	$65.06
49650 Repair of groin hernia using an endoscope	21	21	$1453.62	$519.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$615.00	$199.34
76705 Limited ultrasound scan of abdomen	12	12	$273.00	$88.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$495.00	$168.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	51	$222.00	$72.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$324.00	$113.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	60	$321.00	$128.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	58	$315.00	$104.19
76998 Ultrasonic guidance during surgery	39	39	$495.00	$65.84
47562 Removal of gallbladder using an endoscope	39	39	$2094.00	$700.96
76705 Limited ultrasound scan of abdomen	25	24	$273.00	$90.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$615.00	$202.04
46221 Removal of external hemorrhoids by rubber banding	16	15	$588.00	$294.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$249.00	$19.29
46600 Diagnostic examination of the anus using an endoscope	16	16	$128.00	$120.34
49650 Repair of groin hernia using an endoscope	15	15	$1898.40	$568.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1065.00	$337.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	59	$222.00	$74.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	92	$315.00	$107.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$495.00	$166.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$324.00	$109.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	67	$321.00	$108.94
47562 Removal of gallbladder using an endoscope	48	48	$2094.00	$709.00
76998 Ultrasonic guidance during surgery	45	45	$495.00	$66.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	29	$615.00	$208.14
76937 Ultrasonic guidance for blood vessel access	29	29	$96.00	$15.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$249.00	$19.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1065.00	$361.04
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	19	$306.00	$91.63
76705 Limited ultrasound scan of abdomen	17	16	$273.00	$85.10
46221 Removal of external hemorrhoids by rubber banding	16	14	$588.00	$279.57
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	14	14	$603.00	$204.13
46600 Diagnostic examination of the anus using an endoscope	14	14	$128.00	$103.24
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$5781.00	$1942.77
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	12	12	$4254.00	$1473.55
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$220.00	$75.83
45300 Diagnostic examination of rectum and large bowel using an endoscope	11	11	$171.00	$25.34
49505 Repair of groin hernia (5 years or older)	11	11	$1647.00	$525.43
49650 Repair of groin hernia using an endoscope	11	11	$1602.55	$487.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$495.00	$164.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	51	$222.00	$74.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	87	$315.00	$105.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$321.00	$108.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$324.00	$108.93
76998 Ultrasonic guidance during surgery	53	53	$495.00	$67.24
47562 Removal of gallbladder using an endoscope	48	48	$2094.00	$699.48
76705 Limited ultrasound scan of abdomen	27	26	$273.00	$89.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$120.00	$40.19
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$220.00	$74.26
76937 Ultrasonic guidance for blood vessel access	17	17	$96.00	$14.85
49650 Repair of groin hernia using an endoscope	17	17	$1834.59	$524.90
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	15	$306.00	$89.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$249.00	$19.24
46600 Diagnostic examination of the anus using an endoscope	15	14	$128.00	$95.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1065.00	$357.18
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$5553.00	$1878.98
49505 Repair of groin hernia (5 years or older)	11	11	$1647.00	$556.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$495.06	$163.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	105	$315.08	$104.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$324.30	$107.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	27	$120.00	$39.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$321.00	$103.28
76998 Ultrasonic guidance during surgery	50	50	$415.00	$66.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	29	$222.00	$73.27
47562 Removal of gallbladder using an endoscope	44	44	$2094.68	$689.77
76705 Limited ultrasound scan of abdomen	26	26	$273.00	$89.59
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$220.00	$71.08
46600 Diagnostic examination of the anus using an endoscope	21	19	$128.00	$88.34
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$249.00	$18.95
49650 Repair of groin hernia using an endoscope	18	18	$2109.33	$575.09
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	17	17	$4256.76	$1414.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1065.00	$329.49
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	15	15	$5553.00	$1859.98
76937 Ultrasonic guidance for blood vessel access	14	13	$96.00	$14.62
44180 Release of small bowel scar tissue using an endoscope	12	12	$2930.25	$933.84
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	12	12	$603.58	$200.63
49505 Repair of groin hernia (5 years or older)	11	11	$1649.73	$546.96
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$5787.18	$1941.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$269.38	$107.31
47562 Removal of gallbladder using an endoscope	61	61	$1670.46	$691.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	26	$113.40	$39.46
76998 Ultrasonic guidance during surgery	52	52	$200.96	$65.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	25	$156.73	$72.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$427.84	$160.87
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$216.62	$102.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	33	$313.81	$104.59
76705 Limited ultrasound scan of abdomen	31	31	$219.67	$89.32
49650 Repair of groin hernia using an endoscope	26	26	$1354.10	$498.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	23	$603.46	$203.34
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$185.16	$73.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$266.36	$105.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$277.78	$137.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$319.69	$143.47
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	15	15	$4115.55	$1755.98
76937 Ultrasonic guidance for blood vessel access	14	13	$61.72	$14.57
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$213.13	$19.23
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1392.38	$341.95

Medical Specialties & State Licenses

CMS Verified: 2022-08-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101236058

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1487653978 (VA)

Hospital & Practice Group Affiliations

Centra Medical Group Llc

1906 Thomson Dr, Lynchburg, VA 245011009

Phone: 4342003933

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kimberly Kennedy , NP

Nurse Practitioner - Acute Care

NPI 1174195317

Nurse Practitioner

Gabrielle Crawford , FNP

Nurse Practitioner - Family

NPI 1447631189

Family Nurse Practitioner

Stephanie Spina , PA-C

Physician Assistant

NPI 1932720117

Physician Assistant (Certified)

Dr. Joshua Alley , MD

Surgery

NPI 1982816427

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location August 04, 2022

Registered at 1906 THOMSON DR, LYNCHBURG, VA 245011009 (Tel: 4342003933)

📍

Updated Business Mailing Address August 04, 2022

Registered at 102 FAIRLEA CT, LYNCHBURG, VA 245032163

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Surgery (License #0101236058 in VA)

📍

Updated Practice Location July 06, 2021

Registered at 900 PINE ST STE 123, ENGLEWOOD, FL 342234457 (Tel: 9414745759)

📍

Updated Business Mailing Address July 06, 2021

Registered at 900 PINE ST STE 123, ENGLEWOOD, FL 342234457 (Tel: 9414745759)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Surgery (License #ME117626 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2019

Surgery (License #0101236058 in VA)

✅

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2017

Registered at 2061 ENGLEWOOD RD, ST 2A, ENGLEWOOD, FL 342231749 (Tel: 9414745759)

📍

Updated Business Mailing Address March 15, 2017

Registered at 2061 ENGLEWOOD RD, SUITE 2A, ENGLEWOOD, FL 342231749 (Tel: 9414745759)

👤

Provider Name / Credentials Updated March 15, 2017

Recorded as MICHAEL LILLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Surgery (License #0101236058 in VA)

✅

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2016

Registered at 2061 ENGLEWOOD RD STE 4, SUITE D, ENGLEWOOD, FL 342231747 (Tel: 9414738881)

📍

Updated Business Mailing Address March 30, 2016

Registered at 2061 ENGLEWOOD RD STE 4, SUITE D, ENGLEWOOD, FL 342231747 (Tel: 9414738881)

👤

Provider Name / Credentials Updated March 30, 2016

Recorded as MICHAEL LILLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Surgery (License #ME117626 in FL)

🟢

Initial NPI Registration & Enumeration July 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1487653978

Entity Type:

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

Enumeration Date: July 18, 2005

Last Update: August 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Fairlea Ct

Lynchburg, VA 245032163

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.