2026 NPPES data Internal Medicine Physician NPI 1669427688 M.D.
Verify on CMS →

MICHAEL LILLESTOL, M.D.

Internal Medicine Physician in FARGO, North Dakota. 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
4K
Medicare Part D claims · 442 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.9621/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$126.1
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL LILLESTOL, M.D. is a Internal Medicine Physician ([object Object]) practicing in FARGO, North Dakota with a Medicare Part D prescribing footprint of 4K claims across 442 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 77.9621/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $126.1 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL LILLESTOL, M.D. reported a CMS MIPS final score of 77.9621 out of 100, below the 83.1 national average, and filed 3,843 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL LILLESTOL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL LILLESTOL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/25/2006

NPI 1669427688

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

3,843 41% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

77.9621/100 5.137899999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Internal Medicine Physician compares to other specialties among North Dakota providers

North Dakota providers

Internal Medicine Physician share within North Dakota

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within North Dakota

Medicare quality performance — MIPS

MICHAEL LILLESTOL, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
77.9621/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 77.9621/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Internal Medicine Physician) — 77.9621/100 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).

MICHAEL LILLESTOL, M.D. is a Internal Medicine Physician provider practicing in FARGO, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1669427688. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MICHAEL LILLESTOL, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1707 GOLD DR, FARGO, ND, 58103, with a listed phone of (701) 280-2033. NPI 1669427688 was issued on 05/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LILLESTOL 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 3,843 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $431K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.8%. 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 77.9621/100 for the 2023 performance year (Quality 89.4763, Cost 41.2305), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1707 GOLD DR
FARGO, ND 58103

Provider Details

NPI 1669427688
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/25/2006

CMS Quality Score (MIPS)

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

77.9621
Final Score
Avg: 83.1
89.4763
Quality
41.2305
Cost
95
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL LILLESTOL, M.D. 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.

INTERNAL MEDICINE ASSOCIATES INC
FARGO, ND

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 MICHAEL LILLESTOL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$126

Largest payer

Regeneron Healthcare Solutions, 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.

Brand vs generic prescribing mix · Typical

MICHAEL LILLESTOL, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 3,843 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,843
Total Claims
$431K
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,030
Total Day Supply
223,904
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$362K
Generic Drug Cost
$67K
Opioid Claims
107 (2.8% rate)
Antibiotic Claims
163

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.06
Gender Split
52% female / 48% male
Age Distribution
<65: 23, 65-74: 194, 75-84: 148, 85+: 77

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Rosuvastatin Calcium
218
Atorvastatin Calcium
181
Losartan Potassium
180
Amlodipine Besylate
143
Levothyroxine Sodium
134
Prednisone
112
Metoprolol Succinate
105
Ozempic
Semaglutide
102
Tamsulosin Hcl
94
Furosemide
86

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

Internal Medicine Physician Overview

How MICHAEL LILLESTOL, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MICHAEL LILLESTOL, M.D.'s 3,843 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as LILLESTOL.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL LILLESTOL, M.D.'s specialty?
MICHAEL LILLESTOL, M.D. specializes in Internal Medicine Physician and practices in FARGO, North Dakota. Credentials: M.D..
How much does MICHAEL LILLESTOL, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL LILLESTOL, M.D. wrote 3,843 Medicare Part D claims totaling $431K in drug costs for 442 beneficiaries.
What is MICHAEL LILLESTOL, M.D.'s Medicare quality score?
MICHAEL LILLESTOL, M.D. has a CMS MIPS Final Score of 77.9621/100 (Quality: 89.4763, Cost: 41.2305). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL LILLESTOL, M.D. located?
MICHAEL LILLESTOL, M.D. is located at 1707 GOLD DR, FARGO, ND, 58103. Phone: (701) 280-2033.
What is MICHAEL LILLESTOL, M.D.'s NPI number?
MICHAEL LILLESTOL, M.D.'s National Provider Identifier (NPI) is 1669427688, issued on 05/25/2006.
Does MICHAEL LILLESTOL, M.D. prescribe more brand-name or generic drugs?
MICHAEL LILLESTOL, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $362K in brand drug costs.
Does MICHAEL LILLESTOL, M.D. prescribe opioids?
Yes, MICHAEL LILLESTOL, M.D. had 107 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MICHAEL LILLESTOL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL LILLESTOL, M.D.'s most frequently prescribed drugs include Rosuvastatin Calcium, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL LILLESTOL, M.D. accept Medicare?
MICHAEL LILLESTOL, M.D. appears in CMS Medicare data with 3,843 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL LILLESTOL, M.D.'s credentials?
MICHAEL LILLESTOL, M.D.'s NPI is 1669427688 with credentials M.D.. 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