Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417443334 Individual Practitioner Female Practitioner

Dr. Amanda Van Ly , DO

Surgery • Roseville, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Ly, DO is a certified Surgery practicing in Roseville, CA. With approximately 8 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2018, Dr. Ly delivers high-quality medical care to the local community at 584 N SUNRISE AVE STE 100.

Dr. Ly is affiliated with Sierra Medical Partnership and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

584 N Sunrise Ave Ste 100

Roseville, CA 956612862

Telephone 9162502596
Fax 9165505025
Associated Practice Facility / Clinic
🏢 Sierra Pacific Surgical, Inc. Facility NPI 1861867855

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roseville, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -13.2 yrs vs City Avg
City Avg: 21.2 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
37 Specialists

Practicing in Roseville, CA (3346 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (8 Years) 8 Yrs
Roseville Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
97 53 $264.29 $78.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
48 46 $734.76 $171.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $398.00 $113.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
33 33 $603.79 $170.36
99213 Established patient office or other outpatient visit, typically 15 minutes
20 17 $270.00 $93.01
47562 Removal of gallbladder using an endoscope
16 16 $2302.17 $624.73
49650 Repair of groin hernia using an endoscope
12 12 $1557.61 $549.33

Medical Specialties & State Licenses

CMS Verified: 2023-07-21
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101024118

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Sierra Medical Partnership

584 N Sunrise Ave, Roseville, CA 956612862

Phone: 9162502596

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1467869354

Doctor of Osteopathic Medicine (D.O.)

NPI 1629289186

Doctor of Osteopathic Medicine (D.O.)

Benjamin Toffoletti , PA

Physician Assistant

NPI 1649145194

Physician Assistant

NPI 1831516095

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 21, 2023

Registered at 584 N SUNRISE AVE STE 100, ROSEVILLE, CA 956612862 (Tel: 9162502596)

📍
Updated Business Mailing Address July 21, 2023

Registered at 1625 CREEKSIDE DR STE 202, FOLSOM, CA 956303819 (Tel: 9166632100)

NPI Profile Active July 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2018

Registered at 1000 HARRINGTON ST, MOUNT CLEMENS, MI 480432920 (Tel: 5864938142)

📍
Updated Business Mailing Address July 03, 2018

Registered at 1000 HARRINGTON ST, MOUNT CLEMENS, MI 480432920 (Tel: 5864938142)

👤
Provider Name / Credentials Updated July 03, 2018

Recorded as AMANDA LY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Surgery (License #5101024118 in MI)

🟢
Initial NPI Registration & Enumeration July 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417443334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2018
Last Update: July 21, 2023
Sole Proprietor: No

Mailing Address

1625 Creekside Dr Ste 202

Folsom, CA 956303819

Phone: 9166632100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.