Doctor profile · Federal record
Dr. KEVIN LY
Family Medicine Physician (CMS: FAMILY PRACTICE) · BLOOMSBURG, PA
- NPI 1720564289
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
240 MALL BLVD
BLOOMSBURG, PA 178158306
(570) 784-8303
fax (570) 387-5030 - Mailing address
-
100 N ACADEMY AVE
DANVILLE, PA 178224903
Credentials & registration
- NPI registered
- July 2018 — 8 yrs on file
- Profile last updated
- September 11, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #MD475200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720564289. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,751
Distinct HCPCS
10
Medicare allowed
$106,143
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93793 |
Anticoagulant management of patient taking warfarin | 371 | 43 | $11 | |
85610 |
Blood test, clotting time | 344 | 44 | $4 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 252 | 194 | $122 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 227 | 174 | $172 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 152 | 50 | $22 | |
G0008 |
Administration of influenza virus vaccine | 130 | 130 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 111 | 111 | $68 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $123 | |
90471 |
Administration of vaccine | 27 | 23 | $19 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $85 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 157. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$212
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Gilead Sciences, Inc. | 1 | $124.02 | |
| ABBVIE INC. | 1 | $87.75 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
5,648
Patients
1,611
Total drug cost
$81,633
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 1,059 | 294 | $15,464 |
| Lisinopril | Generic | 715 | 207 | $7,917 |
| Omeprazole | Generic | 582 | 157 | $7,509 |
| Levothyroxine Sodium | Generic | 470 | 116 | $7,408 |
| Amlodipine Besylate | Generic | 395 | 113 | $3,587 |
| Gabapentin | Generic | 337 | 88 | $7,474 |
| Losartan Potassium | Generic | 302 | 88 | $4,943 |
| Metoprolol Succinate | Generic | 280 | 80 | $5,435 |
| Metformin Hcl | Generic | 261 | 67 | $2,540 |
| Hydrochlorothiazide | Generic | 234 | 63 | $1,462 |