LIN LI M.D.
NPI 1376839951
Internal Medicine - Nephrology in Bellevue, WA

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
99.21/100
CMS Quality Rating
1370 116TH AVE NE, SUITE 209, BELLEVUE, WA 98004(425) 453-8406(425) 453-4173 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lin Li M.d. NPPES

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

LIN LI M.D. (NPI 1376839951) is an individual nephrology provider in Bellevue, Washington, licensed in Washington (MD60546389) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1376839951
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLIN LICredential: M.D.
Location Address1370 116TH AVE NE, SUITE 209Bellevue, WA 98004-3825
Mailing Address1370 116th Ave Ne, Suite 209Bellevue, WA 98004-3825 · (425) 453-8406 · Fax (425) 453-4173
Fax(425) 453-4173
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 22, 2011
Last NPPES UpdateJune 28, 2019
NPI 1376839951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in WA · MD60546389
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1370 116TH AVE NE, Bellevue, WA 98004

Other Names 1

Other Name (5)Alex Li M.d.

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

Lin Li 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 ID5890007322
PECOS Enrollment IDI20150710002514
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 16

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.
193 services80 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
143 services27 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.
143 services89 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
99 services12 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
81 services25 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.
67 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

99.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Promoting Interoperability100
Improvement Activities40
Cost83.57

Reported Quality Measures

Breast Cancer Screening
58%43 patients3/55-star benchmark: 93%
Cervical Cancer Screening
35%37 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
45%132 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
76%140 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
16%68 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
7%68 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%600 patients4/55-star benchmark: 100%
e-Prescribing
100%43 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
51%204 patients3/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%36 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%288 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
22%205 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%75 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 167 patients
93%167 patients
Provide Patients Electronic Access to Their Health Information
100%126 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%194 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 187 patients
Patients totalRate: 17% · 187 patients
12%187 patients3/55-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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims480 services$0.33 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,440 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers32 claims32 services$12.63 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.

Podiatrist (Foot & Ankle Surgery)
1370 116TH AVE NE, STE. 206
BELLEVUE, WA 98004
Chiropractor
1370 116TH AVE NE
BELLEVUE, WA 98004
Clinic/Center (Ambulatory Surgical)
1370 116TH AVE NE, SUITE 102
BELLEVUE, WA 98004
Dentist (General Practice)
1370 116TH AVE NE, #104
BELLEVUE, WA 98004
Dentist (Oral and Maxillofacial Surgery)
1370 116TH AVE NE, STE 101
BELLEVUE, WA 98004
Acupuncturist
1370 116TH AVE NE, SUITE 208
BELLEVUE, WA 98004
Psychiatry & Neurology (Psychiatry)
1370 116TH AVE NE, SUITE 201
BELLEVUE, WA 98004
Anesthesiology
1370 116TH AVE NE, SUITE 100
BELLEVUE, WA 98004

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 Lin Li's NPI number?

The NPI number for Lin Li is 1376839951. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Alex Li M.D..

Where is Lin Li located?

Lin Li practices at 1370 116th Ave NE Suite 209, Bellevue, WA 98004. The listed phone number is (425) 453-8406.

What is Lin Li's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Lin Li enrolled in Medicare?

Yes. Lin Li 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 Lin Li accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lin Li 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 Lin Li affiliated with any hospitals?

According to CMS data, Lin Li is affiliated with Overlake Hospital Medical Center, Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Lin Li was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.