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HAO A. LY MD
NPI 1861437378
Emergency Medicine in Crossville, TN

Active since June 18, 2006PECOS Enrolled
77.89/100
CMS Quality Rating
421 S MAIN ST, CROSSVILLE, TN 38555(931) 484-9511 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hao A. Ly Md NPPES

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

HAO A. LY MD (NPI 1861437378) is an individual emergency medicine provider in Crossville, Tennessee, licensed in Pennsylvania (MD450962) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wellsboro.

NPPES Registry Identity

NPI1861437378
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHAO A. LYCredential: MD
Location Address421 S MAIN STCrossville, TN 38555-5048
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984
Phone(931) 484-9511
Sole ProprietorYes
Enumeration DateJune 18, 2006
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1861437378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD450962✔ Licensed in TN · 29369
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
421 S MAIN ST, Crossville, TN 38555
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Secondary Practice Location 1

Location 132 Central AvenueWellsboro, PA 16901-1840 · Phone (570) 723-7764

Other Identifiers 3

Other3073524TN · Blue Cross Blue Shield Tn
Medicaid3812851TN
OtherP00231561TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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)

Hao A. Ly Md 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.

Areas of Expertise CMS Part B claims 3

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 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.
272 services235 patients
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.
101 services91 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

77.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.07
Promoting Interoperability100
Improvement Activities40
Cost36.25

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.

LISA MARIE COONTZ
Nurse Practitioner (Family)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (865) 675-7522
RADIATION ONCOLOGY CARE ASSOCIATES
Specialist
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 456-8390
DR. THOMAS ARTHUR ALLINGHAM D.O.
Anesthesiology (Critical Care Medicine)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 459-7367
DR. RAGHU MALLAPURA PURUSHOTHAMA REDDY M.D
Internal Medicine
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
DR. KRISTAN MERTZ AHLER MD
Pathology (Anatomic Pathology & Clinical Pathology)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
BRICE HAMMONS FITCH CRNA
Nurse Anesthetist, Certified Registered
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
TROY LYNN MILLER MD
Radiology (Diagnostic Radiology)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
PHILEMON THEOLOGOS SPENCER M.D.
Emergency Medicine
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511

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 Hao Ly's NPI number?

The NPI number for Hao Ly is 1861437378. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Hao Ly located?

Hao Ly practices at 421 S Main St, Crossville, TN 38555. The listed phone number is (931) 484-9511.

What is Hao Ly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hao Ly enrolled in Medicare?

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

What insurance does Hao Ly accept?

Health plans from Oscar Insurance Company list Hao 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 Hao Ly was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.