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DR. WILLIE DY LU MD
NPI 1114959558
Specialist in Los Gatos, CA

Active since July 07, 2006PECOS EnrolledCLIA 05D0664857 · Waiver
77.01/100
CMS Quality Rating
320 DARDANELLI LN, SUITE @ 21 B, LOS GATOS, CA 95032(408) 866-8700 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Willie Dy Lu Md NPPES

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

DR. WILLIE DY LU MD (NPI 1114959558) is an individual specialist in Los Gatos, California, licensed in California (A495970) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1114959558
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. WILLIE DY LUCredential: MD
Location Address320 DARDANELLI LN, SUITE @ 21 BLos Gatos, CA 95032-1440
Mailing Address320 Dardanelli Ln, Suite @ 21 BLos Gatos, CA 95032-1440 · (408) 866-8700
Phone(408) 866-8700
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 6, 2011
✔ NPI 1114959558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A495970
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
320 DARDANELLI LN, Los Gatos, CA 95032
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Other Identifiers 4

Other00A495970Ptan
Other1114959558Npi
Medicare UPINE88840CA
Medicaid0046324CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willie Dy Lu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193853349
PECOS Enrollment IDI20100507000514
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0664857

Willie D Lu MD · Los Gatos, CA
Active · expires Aug 31, 2026
CLIA Number05D0664857
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWillie D. Lu
Laboratory Phone(408) 866-8700
Laboratory LocationWillie D Lu MD320 Dardanelli Lane Ste 21-B, Los Gatos, CA 95032
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
735 services331 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
333 services178 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
259 services248 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
240 services233 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
240 services240 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
233 services233 patients

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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.63
Promoting Interoperability54
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
49%140 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
82%417 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
75%324 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
2%49 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%664 patients4/55-star benchmark: 100%
e-Prescribing
100%4,481 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
94%362 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
87%599 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
65%654 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims62 services$5.33 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$195.63 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCY L. LIN M.D.
Neuromusculoskeletal Medicine, Sports Medicine
320 DARDANELLI LN, STE 17
LOS GATOS, CA 95032
Santa Clara County (408) 374-7511
DAVID H.C. KING, M.D., A MEDICAL CORPORATION
Urology
320 DARDANELLI LN, SUITE 23B
LOS GATOS, CA 95032
Santa Clara County (408) 866-2500
STUART PEARLMAN M.D.
Pediatrics
320 DARDANELLI LN, STE# 16
LOS GATOS, CA 95032
Santa Clara County (408) 866-7830
LOSGATOS PEDIATRICS
Pediatrics
320 DARDANELLI LN, STE # 16
LOS GATOS, CA 95032
Santa Clara County (408) 866-7830
SERENA T TAN MD
Pediatrics
320 DARDANELLI LN, SUITE 16
LOS GATOS, CA 95032
Santa Clara County (408) 866-7830
SUSAN KAY BEZECNY
Pediatrics
320 DARDANELLI LN, STE # 16
LOS GATOS, CA 95032
Santa Clara County (408) 866-7830
DR. DAVID H.C. KING M.D.
Urology
320 DARDANELLI LN, SUITE 23B
LOS GATOS, CA 95032
Santa Clara County (408) 866-2500
UROLOGIC MEDICAL CLINIC OF LOS GATOS
Urology
320 DARDANELLI LN, 23B
LOS GATOS, CA 95032
Santa Clara County (408) 866-2500

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 Willie Lu's NPI number?

The NPI number for Willie Lu is 1114959558. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Willie Lu located?

Willie Lu practices at 320 Dardanelli Ln Suite @ 21 B, Los Gatos, CA 95032. The listed phone number is (408) 866-8700.

What is Willie Lu's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Willie Lu enrolled in Medicare?

Yes. Willie Lu is registered in the Medicare PECOS enrollment system.

Does Willie Lu hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0664857) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willie Lu was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.