1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Ophthalmology
  6. NPI Profile

DR. FRANKLIN LI MD
NPI 1457499089
Ophthalmology in Raleigh, NC

Active since February 03, 2007PECOS EnrolledAccepts Medicare Assignment
2406 BLUE RIDGE RD STE 280, RALEIGH, NC 27607(919) 256-2500 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Franklin Li Md NPPES

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

DR. FRANKLIN LI MD (NPI 1457499089) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (2008-01207) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1457499089
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. FRANKLIN LICredential: MD
Location Address2406 BLUE RIDGE RD STE 280Raleigh, NC 27607-6680
Mailing Address2406 Blue Ridge Rd Ste 280Raleigh, NC 27607-6680 · (919) 256-2500
Phone(919) 256-2500
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJuly 18, 2008
✔ NPI 1457499089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NC · 2008-01207✔ Licensed in CA · A93987
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2406 BLUE RIDGE RD STE 280, Raleigh, NC 27607
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. Franklin Li 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 ID5890860712
PECOS Enrollment IDI20080812000462
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 18

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.
418 services375 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
219 services95 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
159 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
100 services100 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
99 services98 patients

Hospital Affiliations CMS Care Compare 4

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Person Memorial Hospital

Acute Care Hospitals · Roxboro, NC
OwnershipProprietary
CMS Certification Number340159
Location615 Ridge RdRoxboro, NC 27573 · Person County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,108 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
20%300 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%701 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%1,657 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,657 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,657 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%1,657 patients
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.

Other Providers at the Same Location NPPES 2

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

ADAM J BENNETT MD
Ophthalmology (Cornea and External Diseases Specialist)
2406 BLUE RIDGE RD STE 280
RALEIGH, NC 27607
Wake County (919) 876-2427
CHELSEA LEFEBVRE MD
Ophthalmology
2406 BLUE RIDGE RD STE 280
RALEIGH, NC 27607
Wake County (919) 256-2500

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 Franklin Li's NPI number?

The NPI number for Franklin Li is 1457499089. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Franklin Li located?

Franklin Li practices at 2406 Blue Ridge Rd Ste 280, Raleigh, NC 27607. The listed phone number is (919) 256-2500.

What is Franklin Li's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Franklin Li enrolled in Medicare?

Yes. Franklin 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 Franklin Li accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Franklin 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 Franklin Li affiliated with any hospitals?

According to CMS data, Franklin Li is affiliated with Duke University Hospital, North Carolina Specialty Hospital, Duke Regional Hospital and Person Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Franklin Li was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.