DR. NICK MINH LY DO
NPI 1518156181
Family Medicine in Winston Salem, NC

Active since October 19, 2007PECOS EnrolledAccepts Medicare Assignment
5079 SILAS CREEK RD, WINSTON SALEM, NC 27103(714) 797-4080 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nick Minh Ly Do NPPES

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

DR. NICK MINH LY DO (NPI 1518156181) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2013-02015) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Beauregard Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1518156181
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICK MINH LYCredential: DO
Location Address5079 SILAS CREEK RDWinston Salem, NC 27103-5961
Mailing Address5079 Silas Creek RdWinston Salem, NC 27103-5961 · (714) 797-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 19, 2007
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1518156181 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 NC · 2013-02015
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 ListedEmergency MedicineTaxonomy 207P00000X · License 2013-02015 (NC)
5079 SILAS CREEK RD, Winston Salem, NC 27103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nick Minh Ly Do 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 ID9335314483
PECOS Enrollment IDI20111219000702, I20131205000354, I20201112000945
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.

Medicare Billing Reassignments

13

Medicare enrollment records show Nick Ly reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Emergency Medicine
180 PARKWOOD DR
Elkin, NC 28621
  • Reassigned Medicare billing, North Carolina enrollment
  • 96 clinicians in this Medicare group
Emergency Medicine
233 DOCTORS ST
Sparta, NC 28675
  • Reassigned Medicare billing, North Carolina enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
200 HOSPITAL AVE
Jefferson, NC 28640
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
Emergency Medicine
566 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 83 clinicians in this Medicare group
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
Emergency Medicine
500 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Vidant Roanoke Chowan Hospital

Acute Care Hospitals · Ahoskie, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340099
Location500 S Academy StAhoskie, NC 27910 · Hertford County
Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Nick Ly's NPI number?

The NPI number for Nick Ly is 1518156181. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Nick Ly located?

Nick Ly practices at 5079 Silas Creek Rd, Winston Salem, NC 27103. The listed phone number is (714) 797-4080.

What is Nick Ly's specialty?

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

Is Nick Ly enrolled in Medicare?

Yes. Nick 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.

Which organizations bill Medicare for Nick Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nick Ly reassigns Medicare benefits to 13 organizations: Wake Forest University Health Sciences (Winston Salem, NC), Yadkin Emergency Physicians, PLLC (Elkin, NC), Alleghany Emergency Group LLC (Sparta, NC), Jefferson Emergency Services, PLLC (Jefferson, NC), Bull City Physicians, PLLC (Henderson, NC) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nick Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nick Ly accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Nick Ly 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 Nick Ly affiliated with any hospitals?

According to CMS data, Nick Ly is affiliated with Beauregard Memorial Hospital, Onslow Memorial Hospital, Vidant Roanoke Chowan Hospital and Maria Parham Medical Center.

When was this NPI record last updated?

The NPPES record for Nick Ly was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.