NPPES file of Aug 9, 2026

Lily Ann Herout, PA

Physician Assistant · Saratoga Springs, NY

Lily Ann Herout, PA is a physician assistant with a practice address in Saratoga Springs, New York, and NPI 1295303295, issued on Jun 15, 2021. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295303295
Name
Lily Ann Herout
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
211 Church St, Saratoga Springs, NY 12866
Phone
(518) 587-3222
Enumerated
Jun 15, 2021
Record last updated
Jun 15, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20210826002665); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 211 Church St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Edelann Abreo, MDStudent in an Organized Health Care Education/Training Program1710675467
  2. Harold Adams, MDFamily Medicine Physician1043245301
  3. Ryan Alden, MDRadiation Oncology Physician1689298994
  4. Mary AllardSocial Worker1841917473
  5. Ronald Allen, PAPhysician Assistant1407962574
  6. Carrie Ambrosino, RPA-CPhysician Assistant1659579332

Verify Lily Ann Herout in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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68% fewer Medicare Part D claims than the average physician assistant in 2024

264 Medicare Part D claims for 193 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims. 17 claims were for opioids.

  1. Lily Herout264
  2. Specialty average830

Most prescribed

  1. Cephalexin45 claims
  2. Amoxicillin-Clavulanate Potass34 claims
  3. Prednisone31 claims
  4. Azithromycin22 claims
  5. Doxycycline Hyclate22 claims
  6. Oxycodone Hcl17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 65.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score56.4
  2. Costout of 100 · 30%64.8
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $147.71

1 payment: food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lily Herout$147.71
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Saratoga HospitalSaratoga Springs, NY · Acute Care Hospitals3 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Lily Ann Herout among 15,555 physician assistant records in New York

Lily Ann Herout, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 66% of them.

  • NPI issued2021 · 66% of these records are older, 29% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2021 · median 2018 among the 8,158 with a school on file
  • Record last updated2021 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

71 physician assistant records list a practice address in Saratoga Springs

They are 71 of the 1,275 NPPES records with a practice address in Saratoga Springs, and 15,555 physician assistant records in New York.

The 8 physician assistant records with the nearest ZIP codes

  1. Ronald Allen, PASaratoga Springs, NY 128661407962574
  2. Norman Bovee, PASaratoga Springs, NY 128661508972654
  3. Bryan Curley, RPA-CSaratoga Springs, NY 128661366549883
  4. Julie Demaree, PASaratoga Springs, NY 128661053427120
  5. Laurie Dweck, PASaratoga Springs, NY 128661982709648
  6. Amy Eckstein-Vangelder, PASaratoga Springs, NY 128661861483208
  7. Daniel Gold, PASaratoga Springs, NY 128661780790857
  8. Kathy Herren, PASaratoga Springs, NY 128661154312593

Common questions

What is Lily Ann Herout, PA's NPI number?

Lily Ann Herout, PA's National Provider Identifier (NPI) is 1295303295, issued on Jun 15, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Lily Ann Herout, PA located?

The NPPES record lists a practice address at 211 Church St, Saratoga Springs, NY, 12866. Phone: (518) 587-3222. Providers update this record themselves, so call before visiting.

How can I verify Lily Ann Herout, PA's license?

Search the New York board that licenses this profession; the NPPES record confirms identity only.

How much does Lily Ann Herout, PA prescribe under Medicare Part D?

In 2024, Lily Ann Herout, PA had 264 Medicare Part D claims for 193 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Lily Ann Herout, PA's MIPS final score?

The 2023 MIPS final score is 65.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.