TODD LILJE (DO) – Emergency Medicine Physician, NPI 1194895573

TODD LILJE (DO) is a healthcare provider. based in Tifton, Georgia. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 55784 (GA). The NPI Number for TODD LILJE (DO) is 1194895573

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TODD LILJE (DO)
NPI
1194895573
Phone
(229) 353-6208
Address
901 18TH ST E
Enumeration Date
9 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2293827120
Graduation Year
1986 (40 years ago)
PAC ID
7911965629
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20050131000213
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TODD LILJE (DO)

  • 901, 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317943648

    Phone: (229) 353-6208

    Fax: (229) 353-7722

    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.

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: 2005-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050131000213IEmergency MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making212198$0
99283Emergency department visit with low level of medical decision making9491$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What federal number belongs to TODD LILJE (DO)?
The federal identifier for TODD LILJE (DO) is NPI 1194895573.
Is TODD LILJE (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TODD LILJE (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for TODD LILJE (DO). Clinical services aligned with this taxonomy classification.
Where is TODD LILJE (DO)'s primary listing?
We display Tifton, Georgia because that is what the record indicates for TODD LILJE (DO).
What if Tifton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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