LYFONG SAMUEL LOR MD
NPI 1083292023
Radiology - Diagnostic Radiology in Rochester, NY

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642(585) 275-2723 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 31, 2021 (2 updates tracked since 2021).

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

NPI1083292023
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameLYFONG SAMUEL LORCredential: MD
Location Address601 ELMWOOD AVE BOX SURGRochester, NY 14642-0001
Mailing Address741 S Bliss AveFresno, CA 93727-5679 · (559) 970-3150
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1083292023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MN · 72533 Licensed in ND · 22287
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
601 ELMWOOD AVE BOX SURG, Rochester, NY 14642

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4587060223
PECOS Enrollment IDI20250617000060
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Garrison Memorial Hospital

Critical Access Hospitals · Garrison, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351303
Location407 3rd Ave SEGarrison, ND 58540 · Mclean County
Emergency services

Chi St Alexius Health Turtle Lake

Critical Access Hospitals · Turtle Lake, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351304
Location220 5th Ave WTurtle Lake, ND 58575 · Mclean County
Emergency services

Sakakawea Medical Center - Cah

Critical Access Hospitals · Hazen, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351310
Location510 8th Avenue NEHazen, ND 58545 · Mercer County
Emergency services

Smp Health St Aloisius

Critical Access Hospitals · Harvey, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351327
Location325 E Brewster StHarvey, ND 58341 · Wells County
Emergency services

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant (Surgical)
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Transplant Surgery
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE BOX SURG
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.

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 2 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.