2026 NPPES data Physician Assistant NPI 1972069896 PAC
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MATTHEW LILLIS, PAC

Physician Assistant in VIRGINIA BEACH, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
252
Medicare Part D claims · 171 beneficiaries · Physician Assistant avg: 790
MIPS score
96.687/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$20.48
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATTHEW LILLIS, PAC reported a CMS MIPS final score of 96.687/100 — above the 83.1 national average — and filed 252 Medicare Part D claims in 2023.

96.687/100
MIPS score · +14 vs avg
252
Part D claims, 2023
$20.48
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MATTHEW LILLIS, PAC's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MATTHEW LILLIS, PAC?

High performer (top quartile)

NPI registry status

Active

Issued 02/15/2019

NPI 1972069896

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

252 68% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

96.687/100 13.587000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Physician Assistant share within Virginia

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Virginia

Medicare quality performance — MIPS

MATTHEW LILLIS, PAC's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
96.687/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 96.687/100 vs national avg 83.1

0%100%National avg83%96.7%
MIPS final score (Physician Assistant) — 96.687/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MATTHEW LILLIS, PAC appears in the CMS NPPES registry as a Physician Assistant provider holding PAC credentials at 4092 FOXWOOD DR STE 101, VIRGINIA BEACH, VA, 23462, with a listed phone of (757) 446-7420. NPI 1972069896 was issued on 02/15/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LILLIS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 252 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 19.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.687/100 for the 2023 performance year (Quality 93.7109), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4092 FOXWOOD DR STE 101
VIRGINIA BEACH, VA 23462

Provider Details

NPI 1972069896
Specialty Physician Assistant
Credentials PAC
Gender Male
NPI Issued 02/15/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.687
Final Score
Avg: 83.1
93.7109
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW LILLIS, PAC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

EMERGENCY PHYSICIANS OF TIDEWATER
SUFFOLK, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MATTHEW LILLIS, PAC. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Arcutis Biotherapeutics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

252
Total Claims
$4K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
253
Total Day Supply
2,171
Generic Drug Cost
$2K
Opioid Claims
48 (19.0% rate)
Antibiotic Claims
77

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
2.06
Gender Split
71% female / 29% male
Age Distribution
<65: 46, 65-74: 65, 75-84: 47, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MATTHEW LILLIS, PAC prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Ondansetron Odt
Ondansetron
22
Cephalexin
20
Doxycycline Hyclate
19
Cyclobenzaprine Hcl
12
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
12
Prednisone
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How MATTHEW LILLIS, PAC fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

MATTHEW LILLIS, PAC's 252 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as LILLIS.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW LILLIS, PAC's specialty?
MATTHEW LILLIS, PAC specializes in Physician Assistant and practices in VIRGINIA BEACH, Virginia. Credentials: PAC.
How much does MATTHEW LILLIS, PAC prescribe under Medicare Part D?
In 2023, MATTHEW LILLIS, PAC wrote 252 Medicare Part D claims totaling $4K in drug costs for 171 beneficiaries.
What is MATTHEW LILLIS, PAC's Medicare quality score?
MATTHEW LILLIS, PAC has a CMS MIPS Final Score of 96.687/100 (Quality: 93.7109). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW LILLIS, PAC located?
MATTHEW LILLIS, PAC is located at 4092 FOXWOOD DR STE 101, VIRGINIA BEACH, VA, 23462. Phone: (757) 446-7420.
What is MATTHEW LILLIS, PAC's NPI number?
MATTHEW LILLIS, PAC's National Provider Identifier (NPI) is 1972069896, issued on 02/15/2019.
Does MATTHEW LILLIS, PAC prescribe opioids?
Yes, MATTHEW LILLIS, PAC had 48 opioid claims in 2023 with an opioid prescribing rate of 19.0%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does MATTHEW LILLIS, PAC prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW LILLIS, PAC's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW LILLIS, PAC accept Medicare?
MATTHEW LILLIS, PAC appears in CMS Medicare data with 252 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW LILLIS, PAC's credentials?
MATTHEW LILLIS, PAC's NPI is 1972069896 with credentials PAC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology