Albert Jackson Lilly III, MD
NPI 1285677955ActiveIndividual· Emergency Medicine· Bend, OR
Emergency Medicine (MD) in Bend, Oregon, trained at Eastern Virginia Medical School (class of 1997). 223 Medicare patients in 2024, $19,251 paid; nearly all of their 177 Part D prescriptions were generic (95%).
Overview
| NPI | 1285677955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Apr 17, 2020 |
| Certified by provider | Apr 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD22604 | OR |
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 - Emergency Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 363 across 58 procedure codes |
| Paid by Medicare | $19,251 |
Part D prescriptions in 2024
| Prescriptions (claims) | 177 · 181 30-day fills |
|---|---|
| Patients | 137 |
| Total drug cost | $1,594 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Emergency Medicine |
Medical group
- St Charles Health System IncBend, OR · 377 clinicians
Hospital affiliations
- St Charles Medical Center - BendBend, OR
- St Charles Medical Center PrinevillePrineville, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Bend
- 1518903558
- 1023310919
- 1083657621
- 1194068957
- 1245341734
- 1265695803
- 1417074345
- 1447249669
- 1457819930
- 1467486829
- 1497140313
- 1528062056
All 42 emergency medicine physicians in Bend · All emergency medicine physicians in Oregon