Doctor profile · Federal record

Dr. Lily Herout, PA

Physician Assistant · Saratoga Springs, NY

  • NPI 1295303295
  • Accepts Medicare
  • MIPS 65.4 / 100 · 2023
  • 5 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
211 Church St
Saratoga Springs, NY 128661090
(518) 587-3222
Mailing address
18675 W Edwards RD
Antioch, IL 600027231

Credentials & registration

NPPES · NUCC
NPI registered
June 2021 — 5 yrs on file
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1295303295. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
306
Distinct HCPCS
5
Medicare allowed
$31,164
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 110 108 $99
99285 Emergency department visit with high level of medical decision making 90 88 $143
99214 Established patient office or other outpatient visit, 30-39 minutes 53 53 $82
99213 Established patient office or other outpatient visit, 20-29 minutes 39 39 $57
99283 Emergency department visit with low level of medical decision making 14 14 $59

In context: peer comparison

Among 18 peers in this city , average services per provider: 97. This provider delivers 3.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$148
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Janssen Pharmaceuticals, Inc 1 $147.71

By nature of payment

Food and Beverage
$148

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
229
Patients
227
Total drug cost
$1,964
Drug Type Claims Patients Total cost
Cephalexin Generic 47 46 $331
Prednisone Generic 45 45 $179
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 26 26 $344
Doxycycline Hyclate Generic 24 23 $297
Ondansetron Odt (Ondansetron) Brand 24 24 $259
Azithromycin Generic 17 17 $115
Tizanidine Hcl Generic 13 13 $201
Ciprofloxacin Hcl Generic 11 11 $80
Methylprednisolone Generic 11 11 $131
Oxycodone Hcl Generic 11 11 $25

Frequently asked questions

Auto-generated from federal data
What is Dr. Lily Herout's medical specialty?
Dr. Lily Herout practices Physician Assistant in Saratoga Springs, NY.
Where does Dr. Lily Herout practice?
Dr. Lily Herout practices at 211 Church St, Saratoga Springs, NY 128661090. Office phone: 5185873222.
What is Dr. Lily Herout's NPI?
Dr. Lily Herout's National Provider Identifier (NPI) is 1295303295, issued by NPPES.
Does Dr. Lily Herout accept Medicare assignment?
Yes. Dr. Lily Herout accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lily Herout commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.