DR. LILLY KC (MD) – Family Medicine Physician, NPI 1811981103
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. LILLY KC (MD)
950N GLEBE RD 4000
ARLINGTON, VA 222031824
Phone: (571) 295-7514
Type: Mailing
Ashton Avenue, Manassas, Manassas (city), Virginia, 20110:20181, United States
SUITE 101
MANASSAS, VA 20109
Phone: (703) 257-8090
Fax: (703) 257-7822
Type: Location
PO BOX 37189
BALTIMORE, MD 212973189
Phone: (571) 423-5699
Fax: (571) 423-5698
Type: Mailing
7900 SUDLEY RD STE 900
MANASSAS, VA 201092867
Phone: (571) 472-8200
Fax: (571) 472-6721
Type: Location
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: 2012-01-20
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 |
|---|---|---|---|---|
| I20110412000161 | I | Family Practice | DC | TBD |
| I20120120000461 | I | Family Practice | VA | 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 | 210 | 117 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | 50 | $0 |
| 83036 | Hemoglobin a1c level | 35 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 33 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 32 | $0 |
Insurance plans in this area (ZIP 22203)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 85 | 25 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Family Practice | VA | |
| Family Practice | OH | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | IL | |
| Family Practice | MD | |
| Internal Medicine | VA | |
| Family Practice | VA |
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