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ANGE MONG LY M.D.
NPI 1114248218
Internal Medicine in Gresham, OR

Active since June 13, 2010PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
24800 SE STARK ST, GRESHAM, OR 97030(503) 674-1122 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ange Mong Ly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGE MONG LY M.D. (NPI 1114248218) is an individual internal medicine provider in Gresham, Oregon, licensed in Oregon (MD160078) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2010).

NPPES Registry Identity

NPI1114248218
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANGE MONG LYCredential: M.D.
Location Address24800 SE STARK STGresham, OR 97030-3378
Mailing Address24800 Se Stark StGresham, OR 97030-3378 · (503) 674-1122
Phone(503) 674-1122
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2010
Enumeration DateJune 13, 2010
Last NPPES UpdateJuly 5, 2013
✔ NPI 1114248218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD160078
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24800 SE STARK ST, Gresham, OR 97030
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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

Ange Mong Ly M.d. 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 ID6901049493
PECOS Enrollment IDI20130903000171
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$17.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers21 claims21 services$89.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KAREN JEANNE O'NEILL DO
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1400
KATHRIN ROSE MEYERS D.O.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-8407
DR. KELLY LEAF MD
Emergency Medicine
24800 SE STARK ST, EMERGENCY DEPARTMENT
GRESHAM, OR 97030
Multnomah County (503) 674-1122
DR. BRITTANY NICOLE KISHEL M.D.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-8407
AMY KATHERINE CHAUMETON M.D.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1580
NIGEL M LONGLAND DO
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1400
DANIEL R BERGER
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1122
STACIA AKERS PT
Physical Therapist
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-3879

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 Ange Mong Ly's NPI number?

The NPI number for Ange Mong Ly is 1114248218. It was assigned to this individual provider in the NPPES registry on June 13, 2010.

Where is Ange Mong Ly located?

Ange Mong Ly practices at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 674-1122.

What is Ange Mong Ly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ange Mong Ly enrolled in Medicare?

Yes. Ange Mong Ly 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.

Is Ange Mong Ly affiliated with any hospitals?

According to CMS data, Ange Mong Ly is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Ange Mong Ly was last updated on July 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.