Individual provider Active NPI

Matthew Raymond Lilley, MD

  • Orthopaedic Surgery Physician
  • Bend, OR
National Provider Identifier
1003166612
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
178069 Issued in OR
Practice address
2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone
(541) 382-3344
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 178069 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Mailing address

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone (541) 382-3344

Other practice location 1

Msc Orthopedics
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (541) 728-1054

Other practice location 2

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (541) 728-1054

Other identifiers 4

IdentifierTypeStateIssuer
122323OtherCACALIFORNIA MEDICAL BOARD
60659856OtherWAWASHINGTON MEDICAL BOARD
178069OtherOROREGON MEDICAL BOARD
500730702MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlilley27181@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816004556 OR Practitioner - Orthopedic Surgery 7315219946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement38
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
178069ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Memorial Clinic PC CurrentSince May 1, 2021 Accepting new patients
Bend Memorial Clinic PC Orthopaedic Surgery Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

1342 NE Medical Center Dr
Bend, OR 97701
Phone (541) 318-0858

2245 NW Shevlin Park Rd
Bend, OR 97703

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

333 NW Larch Ave
Ste 110
Redmond, OR 97756

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
  • FHIR API: https://api.platform.athenahealth.com/9620/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mlilley27181@secure.stcharleshealthcare.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1003166612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc Orthopedics",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "541-728-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Broadmoor Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871442100",
            "country_code": "US",
            "telephone_number": "541-728-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "MATTHEW",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "178069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "122323",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MEDICAL BOARD",
            "identifier": "60659856",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "178069",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500730702",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlilley27181@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 200",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.