LILY TRAN M.D
NPI 1366494874
Internal Medicine - Gastroenterology in Leesburg, FL

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
8110 COUNTY ROAD 44 LEG A, LEESBURG, FL 34788(352) 323-8868 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lily Tran M.d NPPES

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

LILY TRAN M.D (NPI 1366494874) is an individual gastroenterology provider in Leesburg, Florida, licensed in Florida (ME93641) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and is a graduate of University Of Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1366494874
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameLILY TRANCredential: M.D
Location Address8110 COUNTY ROAD 44 LEG ALeesburg, FL 34788-3704
Mailing Address8110 County Road 44 Leg ALeesburg, FL 34788-3704 · (352) 323-8868
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1999
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 21, 2014
NPI 1366494874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME93641
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8110 COUNTY ROAD 44 LEG A, Leesburg, FL 34788

Other Identifiers 1

Medicare ID-Type Unspecified16615ZFL

Accepted Insurance

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

Lily Tran 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 ID9537190160
PECOS Enrollment IDI20050824000158
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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,995 services525 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
1,486 services311 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
878 services308 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.
515 services443 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
362 services360 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.
308 services292 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34788 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.1
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
35%107 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
86%1,530 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
26%210 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%218 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,159 patients4/55-star benchmark: 100%
e-Prescribing
92%715 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%2,538 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%2,503 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%2,635 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 12% · 616 patients
11%616 patients
Provide Patients Electronic Access to Their Health Information
57%895 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,849 patients
Patients totalRate: 4% · 1,850 patients
4%1,850 patients4/55-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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims474 services$2.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims6,966 services$0.28 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 7

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

Nurse Anesthetist, Certified Registered
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Internal Medicine (Gastroenterology)
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Clinic/Center (Ambulatory Surgical)
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Internal Medicine (Gastroenterology)
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Specialist
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Surgery
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788
Internal Medicine (Gastroenterology)
8110 COUNTY ROAD 44 LEG A
LEESBURG, FL 34788

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 Lily Tran's NPI number?

The NPI number for Lily Tran is 1366494874. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Lily Tran located?

Lily Tran practices at 8110 County Road 44 Leg A, Leesburg, FL 34788. The listed phone number is (352) 323-8868.

What is Lily Tran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lily Tran enrolled in Medicare?

Yes. Lily Tran 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.

What insurance does Lily Tran accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Lily Tran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lily Tran affiliated with any hospitals?

According to CMS data, Lily Tran is affiliated with Orlando Health South Lake Hospital and Uf Health Leesburg Hospital.

When was this NPI record last updated?

The NPPES record for Lily Tran was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.