Theodore J. Lilly, M.D.
NPI 1154307932ActiveIndividual· Internal Medicine· Burleson, TX
Internal Medicine (M.D.) in Burleson, Texas, trained at University of Iowa, Rj & L Carver College of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $819,930 for 9,573 claims, against $63,384 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 6 companies reporting payments in 2025, $208.14 in all, mostly food and beverage.
Overview
| NPI | 1154307932 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 22, 2005 |
| Last updated in NPPES | Sep 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | G9146 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 156 |
|---|---|
| Services billed | 1,053 across 31 procedure codes |
| Paid by Medicare | $63,384 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,573 · 21,605 30-day fills |
|---|---|
| Patients | 343 |
| Total drug cost | $819,930 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Questcare Medical Clinics PLLCBurleson, TX · 16 clinicians
Other facilities
- Encompass Home Health of DfwHome health agency · Grapevine, TX
Industry payments (Open Payments)
- 2025$208.14 · 10 payments from 6 companies
- 2024$360.50 · 18 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $118.96 | 5 |
| Sumitomo Pharma America, Inc. | $22.27 | 1 |
| Novo Nordisk Inc | $20.78 | 1 |
| Lilly USA, LLC | $15.74 | 1 |
| Pfizer Inc. | $15.70 | 1 |
What the 2025 payments were for
- Food and Beverage$208.14 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 52 internal medicine physicians in Burleson · All internal medicine physicians in Texas