TRACEY LY PA-C
NPI 1356962211
Physician Assistant in Norfolk, VA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
600 GRESHAM DR STE 700, NORFOLK, VA 23507(757) 388-1700(423) 826-1290 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2026, Mar 19, 2026, Nov 18, 2025 and 4 more (7 updates tracked since 2020).

About Tracey Ly Pa-c NPPES

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

TRACEY LY PA-C (NPI 1356962211) is an individual physician assistant in Norfolk, Virginia, licensed in Virginia (0110009247) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356962211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACEY LYCredential: PA-C
Location Address600 GRESHAM DR STE 700Norfolk, VA 23507-1904
Mailing Address6275 E Virginia Beach Blvd Ste 300Norfolk, VA 23502-2851 · (757) 466-0089 · Fax (757) 466-8017
Fax(423) 826-1290
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateApril 20, 20267 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1356962211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110009247 Licensed in CA · 58446 Licensed in NY · 031055
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 GRESHAM DR STE 700, Norfolk, VA 23507

Secondary Practice Locations 4

Location 165 W 36th St Fl 11, Office 11-05New York, NY 10018-7936 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 22800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 3333 1st St Ste ASan Francisco, CA 94105-2661 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 4415 N Crescent Dr Ste 320Beverly Hills, CA 90210-6813 · Phone (888) 803-3370 · Fax (888) 803-3331

Other Identifiers 1

Medicaid1356962211CA

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

Tracey Ly Pa-c 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 ID4082025374
PECOS Enrollment IDI20260105000157, I20260223000251
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.

Hospital Affiliations CMS Care Compare

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.39
Promoting Interoperability81
Improvement Activities40
Cost74.11

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
600 GRESHAM DR STE 700
NORFOLK, VA 23507

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 Tracey Ly's NPI number?

The NPI number for Tracey Ly is 1356962211. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Tracey Ly located?

Tracey Ly practices at 600 Gresham Dr Ste 700, Norfolk, VA 23507. The listed phone number is (757) 388-1700.

What is Tracey Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tracey Ly enrolled in Medicare?

Yes. Tracey 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 Tracey Ly affiliated with any hospitals?

According to CMS data, Tracey Ly is affiliated with Sentara Norfolk General Hospital.

When was this NPI record last updated?

The NPPES record for Tracey Ly was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.