Active NPI 1639274921 Individual Practitioner Female Practitioner

Melissa Lilly , PA

Physician Assistant • Winchester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melissa Lilly, PA is a certified Physician Assistant practicing in Winchester, VA. With approximately 21 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2005, Melissa Lilly delivers high-quality medical care to the local community at 1880 AMHERST ST STE 300.

Melissa Lilly maintains professional affiliations with Winchester Medical Center, Valley Physician Enterprise Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, removal of blood clot and portion of artery of neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1880 Amherst St Ste 300

Winchester, VA 226012808

Telephone 5405368000

Fax 5405368000

Associated Practice Facility / Clinic

🏢 Winchester Medical Center Facility NPI 1629027263

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winchester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +12.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

217 Specialists

Practicing in Winchester, VA (4432 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lilly (21 Years) 21 Yrs

Winchester Specialty Average (8.9 Years) 8.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$353.00	$105.17
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$250.00	$74.57
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$273.00	$63.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$250.00	$74.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$353.00	$106.38
35301 Removal of blood clot and portion of artery of neck	18	17	$761.20	$187.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$156.00	$47.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$367.00	$107.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$220.07	$78.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$98.64	$32.89
35301 Removal of blood clot and portion of artery of neck	17	17	$598.04	$153.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$338.53	$114.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$292.13	$110.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$149.00	$78.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$218.00	$107.80
35301 Removal of blood clot and portion of artery of neck	15	14	$464.80	$155.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$276.00	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$149.00	$65.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	29	$79.00	$34.02
35301 Removal of blood clot and portion of artery of neck	18	17	$464.80	$160.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$276.00	$118.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$91.00	$39.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	34	$74.82	$33.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$85.84	$38.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$263.66	$116.65
35301 Removal of blood clot and portion of artery of neck	18	18	$1071.49	$157.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	23	$74.82	$33.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$85.84	$36.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$263.66	$115.57

Medical Specialties & State Licenses

CMS Verified: 2021-09-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

503394 (KY)

Commercial Insurance / Payer ID Certification National Co

1070140

Hospital & Practice Group Affiliations

Valley Physician Enterprise Inc

1860 Amherst St, Winchester, VA 226012808

Phone: 5405368000

Winchester Medical Center

1840 Amherst St, Winchester, VA 226012808

Phone: 5405368700

Valley Physician Enterprise Inc

1830 Amherst St, Winchester, VA 226012808

Phone: 5406671828

Valley Physician Enterprise Inc

1840 Amherst St, Winchester, VA 226012808

Phone: 5405368000

Valley Physician Enterprise Inc

1880 Amherst St, Winchester, VA 226012808

Valley Physician Enterprise Inc

1000 N Shenandoah Ave, Front Royal, VA 226303547

Phone: 5406360300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Akhila Sure , MD

Surgery - Surgical Critical Care

NPI 1013400811

Doctor of Medicine (M.D.)

Dr. Jillian Call , MD

Emergency Medicine

NPI 1013976083

Doctor of Medicine (M.D.)

Dr. Ramsey Sfeir , MD

Anesthesiology

NPI 1023083490

Doctor of Medicine (M.D.)

Dr. Richard Batchelet , DO

Anesthesiology

NPI 1023095577

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Khafi , DO

Emergency Medicine

NPI 1023496353

Doctor of Osteopathic Medicine (D.O.)

Meaghan Peters , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1033000328

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 16, 2021

Registered at 1880 AMHERST ST STE 300, WINCHESTER, VA 226012808 (Tel: 5405368000)

📍

Updated Practice Location July 02, 2018

Registered at 1870 AMHERST SUITE 2B, WINCHESTER, VA 22601 (Tel: 5405368000)

📍

Updated Business Mailing Address July 02, 2018

Registered at 1870 AMHERST ST STE 2B, WINCHESTER, VA 226012841 (Tel: 5405368000)

✅

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2017

Registered at 1870 AMHERST SUITE 2B, WINCHESTER, VA 226012841 (Tel: 5405368000)

📍

Updated Business Mailing Address February 06, 2017

Registered at 6253 ASTER HAVEN CIR, HAYMARKET, VA 201696254 (Tel: 2709037908)

👤

Provider Name / Credentials Updated February 06, 2017

Recorded as MELISSA LILLY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Physician Assistant

✅

NPI Profile Active December 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2013

Registered at 2801 NEW HARTFORD RD, OWENSBORO, KY 42303 (Tel: 2706833720)

📍

Updated Business Mailing Address December 13, 2013

Registered at 2801 NEW HARTFORD RD, OWENSBORO, KY 42303 (Tel: 2706833720)

👤

Provider Name / Credentials Updated December 13, 2013

Recorded as MELISSA HAYNES, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2013

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 13, 2006

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: 1639274921

Entity Type:

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

Enumeration Date: September 13, 2006

Last Update: September 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1870 Amherst St Ste 2b

Winchester, VA 226012841

Phone: 5405368000

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.