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 Bloomsburg Family Medicine Physician, 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 |
Hospital affiliations
Frequently asked questions
What is Dr. Kevin Ly's medical specialty?
Dr. Kevin Ly practices Family Medicine Physician in Bloomsburg, PA.
Where does Dr. Kevin Ly practice?
Dr. Kevin Ly practices at 240 Mall Blvd, Bloomsburg, PA 178158306. Office phone: 5707848303.
What is Dr. Kevin Ly's NPI?
Dr. Kevin Ly's National Provider Identifier (NPI) is 1720564289, 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: Anticoagulant management of patient taking warfarin (HCPCS 93793); Blood test, clotting time (HCPCS 85610); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.