LYFONG SAMUEL LOR MD
NPI 1083292023
Radiology - Diagnostic Radiology in Rochester, NY
About Lyfong Samuel Lor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYFONG SAMUEL LOR MD (NPI 1083292023) is an individual diagnostic radiology provider in Rochester, New York, licensed in Minnesota (72533) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Wake Forest University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lyfong Samuel Lor Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Lyfong Lor reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 616 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Alexius Health
Acute Care Hospitals · Bismarck, NDGarrison Memorial Hospital
Critical Access Hospitals · Garrison, NDChi St Alexius Health Turtle Lake
Critical Access Hospitals · Turtle Lake, NDSakakawea Medical Center - Cah
Critical Access Hospitals · Hazen, NDSmp Health St Aloisius
Critical Access Hospitals · Harvey, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lyfong Lor's NPI number?
The NPI number for Lyfong Lor is 1083292023. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Lyfong Lor located?
Lyfong Lor practices at 601 Elmwood Ave Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-2723.
What is Lyfong Lor's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Lyfong Lor enrolled in Medicare?
Yes. Lyfong Lor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lyfong Lor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lyfong Lor reassigns Medicare benefits to 6 organizations: Fairview Express Care (Woodbury, MN), Healtheast St. John's Hospital (Maplewood, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lyfong Lor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lyfong Lor accept?
Health plans from Blue Cross Blue Shield of North Dakota list Lyfong Lor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lyfong Lor affiliated with any hospitals?
According to CMS data, Lyfong Lor is affiliated with Chi St Alexius Health, Garrison Memorial Hospital, Chi St Alexius Health Turtle Lake, Sakakawea Medical Center - Cah and Smp Health St Aloisius.
When was this NPI record last updated?
The NPPES record for Lyfong Lor was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lyfong Samuel Lor, MD · NPI 1083292023
Diagnostic Radiology physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1083292023 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 72533 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE BOX SURG, Rochester, NY 14642-0001
- **Phone:** (585) 275-2723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1700235587, Woodbury, MN); Healtheast St. John's Hospital (NPI 1447218482, Maplewood, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083292023) · Data from the CMS NPPES public registry.