1. Home
  2. Directory
  3. Wisconsin
  4. Sheboygan
  5. Dentist
  6. NPI Profile

KATHERINE LY DDS
NPI 1619712205
Dentist in Sheboygan, WI

Active since June 26, 2024PECOS Enrolled
1721 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 783-6633 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Ly Dds NPPES

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

KATHERINE LY DDS (NPI 1619712205) is an individual dentist in Sheboygan, Wisconsin, licensed in Wisconsin (6001613-15) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619712205
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHERINE LYCredential: DDS
Location Address1721 SAEMANN AVESheboygan, WI 53081-2342
Mailing Address1721 Saemann AveSheboygan, WI 53081-2342
Phone(920) 783-6633
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1619712205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001613-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1721 SAEMANN AVE, Sheboygan, WI 53081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Katherine Ly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

CYNTHIA A BAUS RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ERIN MEYER
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ANGELIQUE DAMBRUCH LPC
Counselor (Professional)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 322-6770
CHRISTA WILSON PHARMD
Pharmacist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
MR. CURTIS M SPAULDING RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
CHERYL VAN ELLS
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
AMANDA J GROLL LPC
Counselor (Professional)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
KAYLA JOHNSON LCSW
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633

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 Katherine Ly's NPI number?

The NPI number for Katherine Ly is 1619712205. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Katherine Ly located?

Katherine Ly practices at 1721 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 783-6633.

What is Katherine Ly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Katherine Ly enrolled in Medicare?

Yes. Katherine Ly is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Katherine 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.

When was this NPI record last updated?

The NPPES record for Katherine Ly was last updated on June 26, 2024. 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.