MICHAEL THOMAS LILJEGREN (PA) – Physician Assistant, NPI 1619451150
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
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Provider Addresses for MICHAEL THOMAS LILJEGREN (PA)
Moffett Road, Semmes, Mobile County, Alabama, 36575, United States
SEMMES, AL 365755409
Phone: (251) 633-0123
Fax: (251) 445-3722
Type: Mailing
1097 INDUSTRIAL PKWY
SARALAND, AL 365713744
Phone: (251) 375-2270
Fax: (251) 375-2269
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190321002023 | I | Physician Assistant | AL | TBD |
| I20230309001097 | I | Physician Assistant | FL | TBD |
| I20231003003056 | I | Physician Assistant | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 46 | 23 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | 26 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 24 | 24 | $0 |
Insurance plans in this area (ZIP 36575)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | KY | |
| Nurse Practitioner | LA | |
| General Surgery | AL | |
| - | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Emergency Medicine, Family Practice | AL | |
| General Surgery | AL | |
| - | AL |
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