Theodore Lilly, M.D.
NPI 1154307932 · Internal Medicine Physician · Burleson, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Lilly, M.D. is a Internal Medicine Physician provider in Burleson, TX (NPI 1154307932).
Provider details
- NPI number
- 1154307932
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G9146 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
796 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 297 | $173 |
| Assessment of Emotional Or Behavioral Problems96127 | 195 | $4 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 75 | $124 |
| Administration of Influenza Virus VaccineG0008 | 56 | $31 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician OrG2212 | 52 | $31 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 150 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 399 | 100 |
| Amlodipine Besylate | 321 | 91 |
| Rosuvastatin Calcium | 313 | 91 |
| Atorvastatin Calcium | 307 | 84 |
| Pantoprazole Sodium | 252 | 70 |
| Gabapentin | 236 | 56 |
| Meloxicam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$361 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2008-09-02
Frequently asked questions
- What is Theodore Lilly's NPI number?
- Theodore Lilly's National Provider Identifier (NPI) is 1154307932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Lilly's specialty?
- Theodore Lilly is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Lilly located?
- Theodore Lilly's practice location on file with NPPES is 434 S.w. Wilshire, Burleson, TX 76028-5330.
- What is Theodore Lilly's phone number?
- The practice phone number listed in the NPPES registry for Theodore Lilly is (817) 447-1208.
- Does Theodore Lilly accept Medicare?
- Theodore Lilly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Lilly's NPI active?
- Yes — Theodore Lilly's NPI (1154307932) is active in the NPPES registry as of the last update on 2008-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.