DR. JOSHUA LILLY (DO) – Sports Medicine (Family Medicine) Physician, NPI 1649657008

DR. JOSHUA LILLY (DO) is a healthcare provider. based in Peoria, Illinois. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. 036144119 (IL). The NPI Number for DR. JOSHUA LILLY (DO) is 1649657008

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA LILLY (DO)
NPI
1649657008
Phone
(309) 689-7044
Address
6000 N ALLEN RD
Enumeration Date
5 May 2015
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2242512468
Graduation Year
2015 (11 years ago)
PAC ID
1153666524
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20190827002301
Address ID
IL600765006SK9650XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. JOSHUA LILLY (DO)

  • 6000 N ALLEN RD

    PEORIA, IL 616143294

    Phone: (309) 689-7044

    Type: Mailing

  • 9650 GROSS POINT RD STE 2900

    SKOKIE, IL 600765006

    Phone: (847) 866-7846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($48).

Total Amount

$62

General + Research + Ownership

Payments

4

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-27

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
I20190827002301IFamily PracticeILTBD

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
99204New patient office or other outpatient visit, 45-59 minutes273273$0
99214Established patient office or other outpatient visit, 30-39 minutes264211$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance263200$0
99203New patient office or other outpatient visit, 30-44 minutes202202$0
20610Aspiration and/or injection of fluid from large joint199131$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Is there an official ID for DR. JOSHUA LILLY (DO) in U.S. healthcare records?
The official identifier for DR. JOSHUA LILLY (DO) is NPI 1649657008.
Is there an active status for DR. JOSHUA LILLY (DO)?
For scheduling context, DR. JOSHUA LILLY (DO) is shown as active in the registry.
What clinical focus is listed for DR. JOSHUA LILLY (DO)?
At a glance, DR. JOSHUA LILLY (DO) is tied to Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOSHUA LILLY (DO)?
Travel planning: use Peoria, Illinois as the reference point for DR. JOSHUA LILLY (DO), then confirm.
Does DR. JOSHUA LILLY (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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