KEVIN DOUGLAS LILLE (PAC) – Physician Assistant, NPI 1679588750
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for KEVIN DOUGLAS LILLE (PAC)
Northeast 63rd Street, Oklahoma City, Oklahoma County, Oklahoma, 73132, United States
SUITE 4
OKLAHOMA CITY, OK 73116
Phone: (405) 607-1318
Fax: (405) 607-1326
Type: Mailing
Fawcett Memorial Hospital, 21298, Olean Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States
FAWCETT MEMORIAL HOSPITAL
PORT CHARLOTTE, FL 33952
Phone: (941) 627-6130
Fax: (941) 627-6146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Medtronic, Inc. ($83).
Total Amount
$83
General + Research + Ownership
Payments
1
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $83 |
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: 2004-03-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040323001239 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 224 | 40 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 185 | 184 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 143 | 138 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 142 | 142 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 47 | $0 |
Insurance plans in this area (ZIP 73116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | PA | |
| - | MO | |
| C H I R O P R A C T I C | MI | |
| C H I R O P R A C T I C | FL | |
| C H I R O P R A C T I C | FL |
Reviews
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