PHONG LY PA-C
NPI 1467235135
Physician Assistant - Medical in Portland, OR

Q: What is Phong Ly's NPI number?

The NPI number for Phong Ly is 1467235135. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Phong Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Phong Ly was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment

3303 S BOND AVE, PORTLAND, OR 97239(503) 494-7246 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2023, Aug 20, 2023 (2 updates tracked since 2023).

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About Phong Ly Pa-c NPPES

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

PHONG LY PA-C (NPI 1467235135) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA218098) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Boston University School Of Medicine (2023).

NPPES Registry Identity

NPI1467235135

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NamePHONG LYCredential: PA-C

Location Address3303 S BOND AVEPortland, OR 97239-4501

Mailing Address3181 Sw Sam Jackson Park Rd, Mail Code Sjh-2Portland, OR 97239 · (503) 494-7246 · Fax (503) 494-8368

Phone(503) 494-7246

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2023

Enumeration DateAugust 16, 2023

Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration

NPPES CertifiedDecember 19, 2023

✔ NPI 1467235135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OR · PA218098

Also ListedPhysician AssistantTaxonomy 363A00000X

3303 S BOND AVE, Portland, OR 97239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Phong 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 ID6305295288

PECOS Enrollment IDI20231218003276

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 4

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.

38 services38 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.

20 services20 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.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380021

Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County

Emergency services Birthing friendly

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.

CHERYL STOMBERG FNP

Nurse Practitioner (Family)