RAYMOND JR. LILLY (M.D.) – Neurological Surgery Physician, NPI 1376541094

RAYMOND JR. LILLY (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 31336 (CO). The NPI Number for RAYMOND JR. LILLY (M.D.) is 1376541094

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
RAYMOND JR. LILLY (M.D.)
NPI
1376541094
Phone
(719) 595-7040
Address
1600 N GRAND AVE
Enumeration Date
7 July 2005
Deactivation Date
15 March 2006
Reactivation Date
27 March 2006
Last Update Date
12 October 2012

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7195957760
Graduation Year
1973 (53 years ago)
PAC ID
3870558125
Group Practice PAC ID
4385722511
Professional Enrollment ID
I20041129000211
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RAYMOND JR. LILLY (M.D.)

  • 1600, North Grand Avenue, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States

    STE 508

    PUEBLO, CO 810032757

    Phone: (719) 595-7040

    Fax: (719) 595-7045

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385722511View full group profile
NameSpecialtyState
-CO
-CO
-CO
Vascular SurgeryCO
-CO
A N E S T H E S I O L O G YFL
-TX
Certified Registered Nurse Anesthetist (Crna)LA
-CO
A N E S T H E S I O L O G YCO

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Frequently asked questions

Is there an official ID for RAYMOND JR. LILLY (M.D.) in U.S. healthcare records?
The official identifier for RAYMOND JR. LILLY (M.D.) is NPI 1376541094.
Would RAYMOND JR. LILLY (M.D.) appear as active to a payer?
You can treat RAYMOND JR. LILLY (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is RAYMOND JR. LILLY (M.D.)?
RAYMOND JR. LILLY (M.D.) is associated with Neurological Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RAYMOND JR. LILLY (M.D.)?
Directory geography for RAYMOND JR. LILLY (M.D.) centers on Pueblo, Colorado.
Can I trust this NPI listing for RAYMOND JR. LILLY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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