MICHELLE LY PA
NPI 1760115521
Physician Assistant in La Jolla, CA

Q: What is Michelle Ly's NPI number?

The NPI number for Michelle Ly is 1760115521. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Q: What is Michelle Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Ly was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 July 07, 2022PECOS EnrolledAccepts Medicare Assignment

9400 CAMPUS POINT DR, LA JOLLA, CA 92093(800) 926-8273 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Jul 7, 2022 (2 updates tracked since 2022).

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About Michelle Ly Pa NPPES

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

MICHELLE LY PA (NPI 1760115521) is an individual physician assistant in La Jolla, California, licensed in California (PA63271) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760115521

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE LYCredential: PA

Location Address9400 CAMPUS POINT DRLa Jolla, CA 92093-1350

Mailing AddressFile 57326Los Angeles, CA 90074-0001 · (800) 926-8273

Phone(800) 926-8273

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 7, 2022

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1760115521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA63271

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9400 CAMPUS POINT DR, La Jolla, CA 92093

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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

Michelle Ly Pa 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 ID5698110542

PECOS Enrollment IDI20240229004621

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

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.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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