Doctor profile · Federal record
Dr. Kevin Ly
Medical Physician Assistant (CMS: Physician Assistant) · Campbell, CA
- NPI 1194359141
- Accepts Medicare
- MIPS 74.2 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3425 S Bascom Ave Ste 200
Campbell, CA 950087300
(408) 256-5292 - Mailing address
-
365 Louise CT
Milpitas, CA 950356026
Credentials & registration
- NPI registered
- February 2020 — 6 yrs on file
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194359141. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,564
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $130 |
In context: peer comparison
Among 1 peers in Campbell Medical Physician Assistant, average services per provider: 12. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Kevin Ly's medical specialty?
Dr. Kevin Ly practices Medical Physician Assistant in Campbell, CA.
Where does Dr. Kevin Ly practice?
Dr. Kevin Ly practices at 3425 S Bascom Ave Ste 200, Campbell, CA 950087300. Office phone: 4082565292.
What is Dr. Kevin Ly's NPI?
Dr. Kevin Ly's National Provider Identifier (NPI) is 1194359141, issued by NPPES.
Does Dr. Kevin Ly accept Medicare assignment?
Yes. Dr. Kevin Ly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Ly commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.