MS. GABRIELA LUCIANA LILLY (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1801391552

MS. GABRIELA LUCIANA LILLY (MD) is a healthcare provider. based in Portland, Oregon. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD221628 (OR). The NPI Number for MS. GABRIELA LUCIANA LILLY (MD) is 1801391552

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. GABRIELA LUCIANA LILLY (MD)
NPI
1801391552
Phone
(503) 494-8211
Address
3181 SW Sam Jackson Park Rd
Enumeration Date
26 March 2018
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
2018 (8 years ago)
PAC ID
2769732965
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20240828004014
Address ID
OR972394501PO3303XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

182 OTOLARYNGOLOGY in OR

Provider Addresses for MS. GABRIELA LUCIANA LILLY (MD)

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393098

    Phone: (503) 494-8211

    Type: Location

  • Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972393098

    Phone: (510) 421-0746

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (410) 933-6423

    Type: Mailing

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (410) 933-6423

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Stryker Corporation ($69).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-11

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: 2024-08-28

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
I20240828004014IOtolaryngologyORTBD

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
31575Diagnostic exam of voice box using a flexible endoscope1514$0
69210Removal of impacted ear wax1413$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MS. GABRIELA LUCIANA LILLY (MD)?
Save NPI 1801391552 if you need a stable reference for MS. GABRIELA LUCIANA LILLY (MD).
Is MS. GABRIELA LUCIANA LILLY (MD) currently active in the NPI registry?
CMS-published data lists MS. GABRIELA LUCIANA LILLY (MD) as an active registrant.
What field does MS. GABRIELA LUCIANA LILLY (MD) work in?
You can think of MS. GABRIELA LUCIANA LILLY (MD) as practicing within Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Where is MS. GABRIELA LUCIANA LILLY (MD)'s primary listing?
We display Portland, Oregon because that is what the record indicates for MS. GABRIELA LUCIANA LILLY (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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