KATHRYN A LILLEY (MD) – Internal Medicine Physician, NPI 1104872670

KATHRYN A LILLEY (MD) is a healthcare provider. based in Janesville, Wisconsin. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 41934-020 (WI). The NPI Number for KATHRYN A LILLEY (MD) is 1104872670

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN A LILLEY (MD)
NPI
1104872670
Phone
(608) 371-8000
Address
3200 E RACINE ST
Enumeration Date
26 May 2006
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2627285568
Graduation Year
1994 (32 years ago)
PAC ID
6901854249
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20050104000494

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
klilley259612@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for KATHRYN A LILLEY (MD)

  • 3200, East Racine Street, Janesville, Rock County, Wisconsin, 53546, United States

    JANESVILLE, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8939

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2005-01-04

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
I20050104000494IInternal MedicineWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes664360$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit269269$0
G0008Administration of influenza virus vaccine8280$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6967$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6866$0
View full utilization report →

Insurance plans in this area (ZIP 53546)

Loading plans...

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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify KATHRYN A LILLEY (MD) for billing?
Administrative and clinical systems typically use NPI 1104872670 for KATHRYN A LILLEY (MD).
Does the public listing show KATHRYN A LILLEY (MD) as active?
KATHRYN A LILLEY (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits KATHRYN A LILLEY (MD)?
NPPES ties KATHRYN A LILLEY (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KATHRYN A LILLEY (MD) tied to Janesville, Wisconsin?
If you are local to Janesville, Wisconsin, KATHRYN A LILLEY (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. DOROTHY J ZAJAC (MD)

Internal Medicine Physician
PO BOX 306
NPI: 1972592210

DR. AMIN A LAKHDHIR (M.D.)

Internal Medicine Physician
933, Newbury Street, Ripon, Fond du Lac County, Wisconsin, 54971, United States
NPI: 1356321970

EUGENE A GULLIVER (MD)

Cardiovascular Disease Physician
Mercy Health Hospital & Trauma Center, 1000, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States
NPI: 1366401903

DAVID R. ISAACSON (MD)

Hospitalist Physician
Mercy Health Hospital & Trauma Center, 1000, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States
NPI: 1073562179

JASDEEP S. DALAWARI (MD)

Interventional Cardiology Physician
1256 N EISENHOWDER DRIVE
NPI: 1215986807

KEITH E COOPER (DO)

Internal Medicine Physician
10 TOWER DR
NPI: 1477505063

HARRY R RAMSEY (MD)

Internal Medicine Physician
3200, East Racine Street, Janesville, Rock County, Wisconsin, 53546, United States
NPI: 1962457135

STANLEY W GRUHN (MD)

Internal Medicine Physician
580, North Washington Street, Janesville, Rock County, Wisconsin, 53548, United States
NPI: 1760437081

ALOK K SRIVASTAVA (MD)

Internal Medicine Physician
580 N Washington St
NPI: 1568418937