DR. NANCY L LY M.D.
NPI 1295007144
Internal Medicine - Cardiovascular Disease in Los Angeles, CA

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033(323) 226-7556(323) 226-2657 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nancy L Ly M.d. NPPES

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

DR. NANCY L LY M.D. (NPI 1295007144) is an individual cardiovascular disease provider in Los Angeles, California, licensed in California (A125595) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295007144
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NANCY L LYCredential: M.D.
Location Address1200 N STATE ST, CT-A7DLos Angeles, CA 90033-1029
Mailing Address765 Medical Center Ct Ste 211Chula Vista, CA 91911-6600 · (619) 616-2100
Fax(323) 226-2657
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 7, 2012
Last NPPES UpdateJanuary 24, 2018
NPI 1295007144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A125595
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1200 N STATE ST, Los Angeles, CA 90033

Other Identifiers 1

Other113856CA · Sid # 113856

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

Dr. Nancy L 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 ID1658649421
PECOS Enrollment IDI20170620001091
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 21

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
681 services297 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.
537 services279 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
208 services52 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
138 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
113 services109 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
100 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

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.

Emergency Medicine
1200 N STATE ST, EMERGENCY DEPARTMENT
LOS ANGELES, CA 90033
Emergency Medicine
1200 N STATE ST, ROOM 1011
LOS ANGELES, CA 90033
General Acute Care Hospital
1200 N STATE ST
LOS ANGELES, CA 90033
General Acute Care Hospital
1200 N STATE ST
LOS ANGELES, CA 90033
General Acute Care Hospital
1200 N STATE ST
LOS ANGELES, CA 90033
Psychiatric Unit
1200 N STATE ST
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, ROOM 1110
LOS ANGELES, CA 90033
Pathology (Blood Banking & Transfusion Medicine)
1200 N STATE ST, CLINIC TOWER A7E114
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295007144, enumerated as an "individual" on February 07, 2012.

The provider is located at 1200 N STATE ST CT-A7D LOS ANGELES, CA 90033 and the phone number is (323) 226-7556.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.