BERNICE Q. LY MD
NPI 1326082462
Internal Medicine in Tuba City, AZ

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bernice Q. Ly Md NPPES

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

BERNICE Q. LY MD (NPI 1326082462) is an individual internal medicine provider in Tuba City, Arizona, licensed in California (A87182) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1326082462
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBERNICE Q. LYCredential: MD
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 600, 167 North Main StreetTuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677
Fax(928) 283-2677
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 15, 2011
✔ NPI 1326082462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A87182
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.
167 NORTH MAIN STREET, Tuba City, AZ 86045

Other Identifiers 2

Medicare UPINI21415
Medicaid908105AZ

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

Bernice Q. Ly 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 ID8123083615
PECOS Enrollment IDI20041123001216
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bernice Ly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
167 NORTH MAIN STREET
Tuba City, AZ 86045
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
245 W ROOSEVELT RD
West Chicago, IL 60185
  • Reassigned Medicare billing, Illinois enrollment
  • 413 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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
1 supplier18 claims18 services$16.50 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
1 supplier18 claims18 services$87.37 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.

Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045

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 Bernice Ly's NPI number?

The NPI number for Bernice Ly is 1326082462. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Bernice Ly located?

Bernice Ly practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Bernice Ly's specialty?

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

Is Bernice Ly enrolled in Medicare?

Yes. Bernice 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.

Which organizations bill Medicare for Bernice Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernice Ly reassigns Medicare benefits to 2 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ) and Access Community Health Network (West Chicago, IL). 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 Bernice Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bernice Ly was last updated on June 15, 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.