NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1245225689 DO
Verify on CMS → Patrick Lilly, DO
General Practice Physician in Vincennes, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,725 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
195
Medicare Part D claims · 151 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
79%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.6/100
▲ 2 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Patrick Lilly, DO reported a CMS MIPS final score of 85.6/100 - above the 83.1 national average - and filed 195 Medicare Part D claims in 2023.
- 85.6/100
- MIPS score · +2 vs avg
- 195
- Part D claims, 2023
- 79%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Patrick Lilly, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
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
Where Patrick Lilly, DO sits
This provider among general practice physician peers
Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Patrick Lilly, DO writes more Part D claims than 30% of them and scores higher on MIPS quality than 58% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Patrick Lilly, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Patrick Lilly, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Patrick Lilly, DO?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
195 93% vs specialty avg
MIPS final score
85.6/100 2.5 pts vs avg
Specialty distribution in Indiana
How General Practice Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Patrick Lilly, DO's 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 85.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Physician) - 85.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Patrick Lilly, DO appears in the CMS NPPES registry as a General Practice Physician provider holding DO credentials at 520 S 7TH ST, Vincennes, IN, 47591, with a listed phone of (812) 885-3685. NPI 1245225689 was issued on 09/13/2005.
Medicare Part D records for calendar year 2023 show 195 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $4K in drug spend, split 10% brand-name and 79% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.6/100 for the 2023 performance year (Quality 83, Cost 69), compared with the national average of 83.1.
General Practice Physician is a mid-sized specialty nationwide, with 16,725 enrolled providers across 56 states and an average of 2,872 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
Provider Details
| NPI | 1245225689 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 09/13/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.5907
Final Score
Avg: 83.1
82.9633
Quality
69.0056
Cost
100
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Patrick Lilly, DO - brand share 10.0%
General Practice Physician average
10% brand-name claims vs 79% generic, on 195 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.
195
Total Claims
$4K
Total Drug Cost
151
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 203
- Total Day Supply
- 2,202
- Brand vs Generic
- 10% brand / 79% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 108
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Patrick Lilly, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
51 claims
- Azithromycin
Azithromycin
29 claims
- Paxlovid (Eua) 20
Paxlovid (Eua)
20 claims
- Albuterol Sulfate … 19
Albuterol Sulfate Hfa
19 claims
- Methylprednisolone 15
Methylprednisolone
15 claims
- Amoxicillin-Clavul… 12
Amoxicillin-Clavulanate Potass
12 claims
| Drug | Claims |
|---|---|
| Cephalexin | 51 |
| Azithromycin | 29 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 20 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 19 |
| Methylprednisolone | 15 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Patrick Lilly, DO fits within the General Practice Physician landscape nationally.
16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Patrick Lilly, DO's 195 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Lilly.
Dr. Raechel Ackerman
DO
Indianapolis, IN
Dr. Jerome Adams
MD
Muncie, IN
Dr. Jerry Adams
MD
Indianapolis, IN
Dr. Peter Adams
M.D.
Charlestown, IN
Dr. John Addo
MD
Fort Wayne, IN
Compare General Practice Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Patrick Lilly, DO's specialty? ▼
Patrick Lilly, DO specializes in General Practice Physician and practices in Vincennes, Indiana. Credentials: DO.
How much does Patrick Lilly, DO prescribe under Medicare Part D? ▼
In 2023, Patrick Lilly, DO wrote 195 Medicare Part D claims totaling $4K in drug costs for 151 beneficiaries.
What is Patrick Lilly, DO's Medicare quality score? ▼
Patrick Lilly, DO has a CMS MIPS Final Score of 85.6/100 (Quality: 83, Cost: 69). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Patrick Lilly, DO located? ▼
Patrick Lilly, DO is located at 520 S 7TH ST, Vincennes, IN, 47591. Phone: (812) 885-3685.
What is Patrick Lilly, DO's NPI number? ▼
Patrick Lilly, DO's National Provider Identifier (NPI) is 1245225689, issued on 09/13/2005.
Does Patrick Lilly, DO prescribe more brand-name or generic drugs? ▼
Patrick Lilly, DO's prescribing is 10% brand-name and 79% generic drugs by claim count, with $2K in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,725 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Patrick Lilly, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Patrick Lilly, DO's most frequently prescribed drugs include Cephalexin, Azithromycin, Paxlovid (Eua). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Patrick Lilly, DO accept Medicare? ▼
Patrick Lilly, DO appears in CMS Medicare data with 195 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patrick Lilly, DO's credentials? ▼
Patrick Lilly, DO's NPI is 1245225689 with credentials DO. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.