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ANDREW J LY MD
NPI 1447712302
Family Medicine in Chicago, IL

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-6730 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2022, Apr 1, 2019 (2 updates tracked since 2019).

About Andrew J Ly Md NPPES

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

ANDREW J LY MD (NPI 1447712302) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036160798) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2019).

NPPES Registry Identity

NPI1447712302
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW J LYCredential: MD
Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640
Mailing Address1229 W Kelly StArlington Heights, IL 60004-8432 · (847) 899-0819
Phone(773) 665-6730
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1447712302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036160798
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2900 N LAKE SHORE DR, Chicago, IL 60657
Open in Google Maps ↗

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

Andrew J 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 ID244613446
PECOS Enrollment IDI20220822001373
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 8

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.

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.
223 services175 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.
152 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
150 services150 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

MAX JESUS BUSTILLO OROZCO MD
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
ROBERTA LUSKIN-HAWK MD
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3261
DR. SANDRA SOLOMON M.D.
Pain Medicine (Interventional Pain Medicine)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. ILANA SCHIFFMAN M.D.
Family Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
NEAL FRANCIS DAVIS-RUPERTO AUD
Audiologist
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3184
SHADI JAFARIAN RD, LDN
Dietitian, Registered
2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657
Cook County (773) 665-3306
AHSANA ANJUM ISLAM DPM
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. YANIRA LAGOS ESCOTO MD
Internal Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-6730

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 Andrew Ly's NPI number?

The NPI number for Andrew Ly is 1447712302. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Andrew Ly located?

Andrew Ly practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-6730.

What is Andrew Ly's specialty?

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

Is Andrew Ly enrolled in Medicare?

Yes. Andrew 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 Andrew Ly affiliated with any hospitals?

According to CMS data, Andrew Ly is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Ly was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.