PETER JAMES LY MD
NPI 1356838494
Family Medicine in Findlay, OH

Active since April 14, 2018PECOS EnrolledAccepts Medicare Assignment
64.04/100
CMS Quality Rating
1900 S MAIN ST, FINDLAY, OH 45840(419) 423-4500 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Aug 24, 2021, Apr 14, 2018 (3 updates tracked since 2018).

About Peter James Ly Md NPPES

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

PETER JAMES LY MD (NPI 1356838494) is an individual family medicine provider in Findlay, Ohio, licensed in Michigan (4301505003) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Susanville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356838494
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER JAMES LYCredential: MD
Location Address1900 S MAIN STFindlay, OH 45840-1216
Mailing Address32010 Jefferson AveSaint Clair Shores, MI 48082-1365 · (248) 462-5821
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 14, 2018
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1356838494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MI · 4301505003 Licensed in CA · A193415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1900 S MAIN ST, Findlay, OH 45840

Secondary Practice Location 1

Location 11800 Spring Ridge DrSusanville, CA 96130-6100 · Phone (303) 390-1940

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

Peter James 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 ID6305243197
PECOS Enrollment IDI20240410002872
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 3

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.
82 services42 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.
50 services49 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.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

64.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.06
Improvement Activities40
Cost58.87

Referred Medical Equipment & Supplies CMS DME claims 3

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 supplier23 claims23 services$16.78 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
2 suppliers50 claims50 services$105.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$38.13 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.

Internal Medicine
1900 S MAIN ST
FINDLAY, OH 45840
Emergency Medicine
1900 S MAIN ST
FINDLAY, OH 45840
Pharmacist
1900 S MAIN ST
FINDLAY, OH 45840
Nurse Practitioner (Acute Care)
1900 S MAIN ST
FINDLAY, OH 45840
Emergency Medicine
1900 S MAIN ST
FINDLAY, OH 45840
Pharmacist
1900 S MAIN ST
FINDLAY, OH 45840
Anesthesiology (Pain Medicine)
1900 S MAIN ST
FINDLAY, OH 45840
Neurological Surgery
1900 S MAIN ST
FINDLAY, OH 45840

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 Peter Ly's NPI number?

The NPI number for Peter Ly is 1356838494. It was assigned to this individual provider in the NPPES registry on April 14, 2018.

Where is Peter Ly located?

Peter Ly practices at 1900 S Main St, Findlay, OH 45840. The listed phone number is (419) 423-4500.

What is Peter Ly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Ly enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Ly was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.