MR. BUDDY WAYNE LILE (M.D.) – Psychiatry Physician, NPI 1104858612
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
746 PSYCHIATRY in MN
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Provider Addresses for MR. BUDDY WAYNE LILE (M.D.)
550, Main Street, New Brighton, Ramsey County, Minnesota, 55112, United States
SUITE 230
NEW BRIGHTON, MN 55112
Phone: (612) 326-7558
Fax: (612) 454-2087
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)
CMS reports 3 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($39).
Total Amount
$74
General + Research + Ownership
Payments
3
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $39 |
| Lundbeck LLC | $34 |
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: 2023-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070316000218 | I | Psychiatry | MN | TBD |
| I20231228002069 | I | Psychiatry | NM | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 28 | $0 |
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | LA | |
| - | NM | |
| - | NM | |
| Physician Assistant | NM | |
| Physician Assistant | NM | |
| - | NM | |
| Family Practice | NM | |
| Internal Medicine | AZ | |
| Geriatric Medicine | HI | |
| Nurse Practitioner | NM |
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