Active NPI 1497700223 Individual Practitioner Female Practitioner

Dr. Kris M Bly , DO

General Practice • Orange City, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kris Bly, DO is a certified General Practice practicing in Orange City, FL. With approximately 34 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1992, Dr. Bly delivers high-quality medical care to the local community at 2777 ENTERPRISE RD.

Dr. Bly is affiliated with Florida Health Care Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, 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

2777 Enterprise Rd

Orange City, FL 327638310

Telephone 3867742550

Fax 3867745667

Associated Practice Facility / Clinic

🏢 Florida Health Care Plan, Inc. Facility NPI 1538293824

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orange City, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +2.9 yrs vs City Avg

City Avg: 31.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Orange City, FL (2490 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bly (34 Years) 34 Yrs

Orange City Specialty Average (31.1 Years) 31.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	244	$300.00	$80.89
36415 Insertion of needle into vein for collection of blood sample	151	126	$32.00	$2.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	145	145	$300.00	$117.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	99	80	$58.00	$7.56
80053 Blood test, comprehensive group of blood chemicals	87	76	$99.00	$10.29
71046 X-ray of chest, 2 views	69	67	$164.00	$34.76
J0696 Injection, ceftriaxone sodium, per 250 mg	64	16	$2.00	$0.59
81003 Automated urinalysis test	56	55	$36.00	$2.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	42	$77.00	$15.13
94640 Inhalation treatment for airway obstruction or sputum production	33	33	$78.00	$18.99
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	22	21	$6.00	$0.13
80061 Blood test, lipids (cholesterol and triglycerides)	21	20	$132.00	$13.26
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$120.00	$18.62
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	18	17	$220.00	$41.69
96360 Infusion into a vein for hydration, 31-60 minutes	15	15	$267.00	$36.29
J7030 Infusion, normal saline solution , 1000 cc	13	12	$3.00	$2.56
80048 Blood test, basic group of blood chemicals (calcium, total)	13	13	$84.00	$8.32
90471 Administration of 1 vaccine	13	13	$58.00	$15.14
73562 X-ray of knee, 3 views	13	12	$174.00	$41.48
74018 X-ray of abdomen, 1 view	11	11	$141.00	$31.04
70450 Ct scan head or brain without contrast	11	11	$1191.00	$118.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	753	591	$300.00	$79.59
36415 Insertion of needle into vein for collection of blood sample	437	337	$32.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	384	384	$300.00	$118.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	294	234	$58.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	288	236	$99.00	$11.51
J0696 Injection, ceftriaxone sodium, per 250 mg	247	61	$2.00	$0.58
71046 X-ray of chest, 2 views	244	231	$164.00	$33.54
81003 Automated urinalysis test	162	149	$36.00	$2.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	140	70	$83.00	$15.99
94640 Inhalation treatment for airway obstruction or sputum production	135	106	$78.00	$19.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	12	$2.00	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	102	$77.00	$17.48
J2405 Injection, ondansetron hydrochloride, per 1 mg	104	25	$0.50	$0.14
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	94	80	$6.00	$0.14
93000 Routine ekg using at least 12 leads including interpretation and report	89	86	$120.00	$18.54
80061 Blood test, lipids (cholesterol and triglycerides)	53	52	$132.00	$14.58
J1885 Injection, ketorolac tromethamine, per 15 mg	50	17	$2.00	$0.50
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	48	46	$220.00	$41.27
85610 Blood test, clotting time	47	24	$44.00	$4.28
J7030 Infusion, normal saline solution , 1000 cc	44	39	$3.00	$2.45
96360 Infusion into a vein for hydration, 31-60 minutes	40	39	$267.00	$40.14
96375 Injection of additional new drug or substance into vein	39	26	$142.00	$17.68
74018 X-ray of abdomen, 1 view	37	36	$141.00	$30.25
71250 Ct scan of chest without contrast	36	34	$1324.00	$162.62
84443 Blood test, thyroid stimulating hormone (TSH)	30	26	$141.00	$18.30
70450 Ct scan head or brain without contrast	30	30	$1191.00	$115.23
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	29	27	$13.00	$6.36
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	27	$613.00	$127.81
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	26	23	$143.00	$12.57
84484 Troponin (protein) analysis, quantitative	26	23	$175.00	$12.22
83874 Myoglobin (muscle protein) level	26	23	$152.00	$14.06
80048 Blood test, basic group of blood chemicals (calcium, total)	24	23	$84.00	$9.21
74176 Ct scan of abdomen and pelvis without contrast	23	23	$1282.00	$211.40
76700 Ultrasound of abdomen	23	22	$551.00	$125.84
72100 X-ray of lower and sacral spine, 2-3 views	23	22	$181.00	$38.68
74177 Ct scan of abdomen and pelvis with contrast	22	22	$2014.00	$334.09
73562 X-ray of knee, 3 views	21	20	$174.00	$41.36
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	20	$77.00	$16.20
73610 X-ray of ankle, minimum of 3 views	19	17	$155.00	$35.39
A4565 Slings	19	19	$16.00	$8.73
69209 Removal of impacted ear wax by washing	18	17	$155.00	$19.53
73130 X-ray of hand, minimum of 3 views	18	18	$152.00	$37.36
76770 Complete ultrasound scan behind abdominal cavity	18	18	$537.00	$118.52
73564 X-ray of knee, 4 or more views	17	13	$210.00	$46.40
90471 Administration of 1 vaccine	17	17	$58.00	$17.64
73630 X-ray of foot, minimum of 3 views	17	17	$140.00	$33.22
84436 Thyroxine (thyroid chemical), total	16	16	$74.00	$7.48
72040 X-ray of upper spine, 2-3 views	16	16	$172.00	$38.64
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	16	15	$314.00	$76.13
73502 X-ray of hip, 2-3 views	15	14	$192.00	$45.21
74019 X-ray of abdomen, 2 views	15	14	$174.00	$36.80
73110 X-ray of wrist, minimum of 3 views	15	15	$159.00	$38.77
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$263.00	$54.15
76775 Limited ultrasound scan behind abdominal cavity	14	13	$444.00	$62.07
73030 X-ray of shoulder, minimum of 2 views	14	13	$170.00	$32.09
96361 Hydration infusion into a vein	13	11	$91.00	$14.40
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$8.00	$6.42
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	12	12	$2.00	$0.04
76536 Ultrasound of head and neck	12	12	$441.00	$120.96
76830 Ultrasound pelvis through vagina	12	12	$528.00	$128.36
76856 Complete ultrasound scan of pelvis	11	11	$486.00	$107.91
76705 Limited ultrasound scan of abdomen	11	11	$414.00	$85.92
72070 X-ray of middle spine, 2 views	11	11	$176.00	$36.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	683	554	$300.00	$73.51
36415 Insertion of needle into vein for collection of blood sample	421	325	$32.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	355	355	$300.00	$111.40
80053 Blood test, comprehensive group of blood chemicals	354	280	$99.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	330	250	$58.00	$9.40
71046 X-ray of chest, 2 views	298	285	$164.00	$30.37
81003 Automated urinalysis test	214	199	$36.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	179	$300.00	$108.05
93000 Routine ekg using at least 12 leads including interpretation and report	119	116	$120.00	$17.20
J0696 Injection, ceftriaxone sodium, per 250 mg	115	33	$2.00	$0.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	107	82	$77.00	$20.28
94640 Inhalation treatment for airway obstruction or sputum production	90	87	$78.00	$18.64
80061 Blood test, lipids (cholesterol and triglycerides)	82	76	$132.00	$16.20
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	82	78	$6.00	$0.13
87804 Detection test by immunoassay with direct visual observation for influenza virus	78	39	$83.00	$16.22
84443 Blood test, thyroid stimulating hormone (TSH)	69	61	$141.00	$20.33
85610 Blood test, clotting time	65	46	$44.00	$4.75
J2405 Injection, ondansetron hydrochloride, per 1 mg	54	15	$0.50	$0.09
J1885 Injection, ketorolac tromethamine, per 15 mg	54	19	$2.00	$0.57
J7030 Infusion, normal saline solution , 1000 cc	52	47	$3.00	$2.27
96361 Hydration infusion into a vein	50	38	$91.00	$13.84
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	48	47	$220.00	$45.94
74018 X-ray of abdomen, 1 view	44	42	$141.00	$27.39
84484 Troponin (protein) analysis, quantitative	41	40	$175.00	$12.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	41	40	$613.00	$120.67
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	41	40	$143.00	$13.97
83874 Myoglobin (muscle protein) level	41	40	$152.00	$15.63
72100 X-ray of lower and sacral spine, 2-3 views	40	40	$181.00	$34.91
74177 Ct scan of abdomen and pelvis with contrast	40	40	$2014.00	$307.39
73562 X-ray of knee, 3 views	37	32	$174.00	$35.66
70450 Ct scan head or brain without contrast	35	35	$1191.00	$110.90
74176 Ct scan of abdomen and pelvis without contrast	33	33	$1282.00	$194.01
83880 Natriuretic peptide (heart and blood vessel protein) level	33	32	$245.00	$41.06
90471 Administration of 1 vaccine	32	32	$58.00	$20.31
84439 Thyroxine (thyroid chemical), free	32	31	$149.00	$10.91
96375 Injection of additional new drug or substance into vein	31	24	$142.00	$17.94
80048 Blood test, basic group of blood chemicals (calcium, total)	31	30	$84.00	$10.23
69209 Removal of impacted ear wax by washing	31	29	$155.00	$16.42
73630 X-ray of foot, minimum of 3 views	30	29	$140.00	$29.50
J2270 Injection, morphine sulfate, up to 10 mg	28	26	$3.00	$1.97
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	28	28	$81.00	$30.76
73030 X-ray of shoulder, minimum of 2 views	27	26	$170.00	$29.52
96360 Infusion into a vein for hydration, 31-60 minutes	26	25	$267.00	$46.36
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	25	25	$13.00	$6.60
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$77.00	$16.20
76775 Limited ultrasound scan behind abdominal cavity	21	21	$444.00	$58.35
73130 X-ray of hand, minimum of 3 views	21	17	$152.00	$32.02
76700 Ultrasound of abdomen	20	20	$551.00	$117.48
73610 X-ray of ankle, minimum of 3 views	20	20	$155.00	$31.53
69210 Removal of impacted ear wax	20	20	$155.00	$50.61
73110 X-ray of wrist, minimum of 3 views	19	18	$159.00	$34.93
J2360 Injection, orphenadrine citrate, up to 60 mg	19	18	$19.00	$7.28
71250 Ct scan of chest without contrast	18	18	$1324.00	$152.75
71101 X-ray of ribs on side of body, minimum of 3 views	18	17	$205.00	$38.57
76536 Ultrasound of head and neck	17	16	$441.00	$115.96
A4565 Slings	16	16	$16.00	$8.55
J1030 Injection, methylprednisolone acetate, 40 mg	15	11	$8.00	$6.64
J1940 Injection, furosemide, up to 20 mg	15	11	$4.00	$0.93
73502 X-ray of hip, 2-3 views	15	15	$192.00	$41.09
71260 Ct scan of chest with contrast	15	15	$1696.00	$167.06
74019 X-ray of abdomen, 2 views	14	14	$174.00	$33.12
93880 Ultrasound of both sides of head and neck blood flow	14	14	$804.00	$203.56
72040 X-ray of upper spine, 2-3 views	14	14	$172.00	$33.25
82565 Blood creatinine level	14	14	$47.00	$6.20
73140 X-ray of finger, minimum of 2 views	13	11	$121.00	$32.31
82150 Amylase (enzyme) level	13	13	$66.00	$7.84
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	13	13	$314.00	$72.65
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	12	12	$3.00	$1.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$822.00	$192.72
84520 Urea nitrogen level to assess kidney function	11	11	$40.00	$4.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	542	410	$32.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	511	438	$300.01	$72.44
80053 Blood test, comprehensive group of blood chemicals	417	342	$99.00	$13.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	388	314	$58.00	$10.45
71020 X-ray of chest, 2 views, front and side	361	299	$164.00	$24.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	214	$300.00	$105.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	230	230	$300.00	$110.71
81003 Automated urinalysis test	163	155	$36.00	$3.02
J0696 Injection, ceftriaxone sodium, per 250 mg	150	49	$2.00	$0.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	143	17	$2.00	$0.12
94640 Inhalation treatment for airway obstruction or sputum production	135	118	$78.00	$17.77
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	124	105	$6.00	$0.16
93000 Routine ekg using at least 12 leads including interpretation and report	122	117	$120.00	$17.19
80061 Blood test, lipids (cholesterol and triglycerides)	120	113	$132.00	$15.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	87	$77.00	$24.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$302.23	$167.82
J2405 Injection, ondansetron hydrochloride, per 1 mg	79	20	$0.50	$0.09
84443 Blood test, thyroid stimulating hormone (TSH)	63	60	$141.00	$22.59
85610 Blood test, clotting time	57	45	$44.00	$5.28
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	51	49	$220.00	$57.01
83874 Myoglobin (muscle protein) level	50	46	$152.00	$17.37
84484 Troponin (protein) analysis, quantitative	50	46	$175.00	$13.23
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	50	46	$143.00	$12.51
J7030 Infusion, normal saline solution , 1000 cc	49	42	$3.00	$1.98
72100 X-ray of lower and sacral spine, 2-3 views	49	45	$181.00	$31.81
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	25	$83.00	$16.11
84436 Thyroxine (thyroid chemical), total	45	41	$74.00	$9.23
70450 Ct scan head or brain without contrast	40	33	$1191.00	$94.30
71250 Ct scan of chest without contrast	35	29	$1324.00	$143.15
73030 X-ray of shoulder, minimum of 2 views	35	29	$170.00	$26.40
96360 Infusion into a vein for hydration, 31-60 minutes	33	33	$267.00	$56.88
74000 X-ray of abdomen, single view	33	25	$141.00	$20.07
96361 Hydration infusion into a vein	31	23	$91.00	$15.05
83880 Natriuretic peptide (heart and blood vessel protein) level	30	28	$245.00	$45.63
J1885 Injection, ketorolac tromethamine, per 15 mg	28	14	$2.00	$0.73
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	28	13	$2.21	$0.05
96375 Injection of additional new drug or substance into vein	27	21	$142.00	$21.86
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	26	23	$613.00	$104.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	25	23	$13.00	$5.66
74177 Ct scan of abdomen and pelvis with contrast	25	22	$2014.00	$266.78
72070 X-ray of middle spine, 2 views	24	19	$176.00	$26.58
73562 X-ray of knee, 3 views	24	19	$174.00	$33.93
J1940 Injection, furosemide, up to 20 mg	24	14	$4.00	$1.05
73502 X-ray of hip, 2-3 views	23	21	$192.00	$37.24
73630 X-ray of foot, minimum of 3 views	22	19	$140.00	$27.52
76770 Complete ultrasound scan behind abdominal cavity	21	18	$537.00	$95.48
73560 X-ray of knee, 1-2 views	18	11	$143.00	$28.78
74176 Ct scan of abdomen and pelvis without contrast	18	14	$1282.00	$158.28
72110 X-ray of lower and sacral spine, minimum of 4 views	18	15	$263.00	$40.13
72040 X-ray of upper spine, 2-3 views	18	14	$172.00	$25.35
76775 Limited ultrasound scan behind abdominal cavity	17	14	$444.00	$48.03
73610 X-ray of ankle, minimum of 3 views	17	15	$155.00	$27.53
76700 Ultrasound of abdomen	16	15	$551.00	$106.91
73110 X-ray of wrist, minimum of 3 views	16	14	$159.00	$30.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$300.00	$43.58
90471 Administration of 1 vaccine	15	15	$58.00	$24.90
73130 X-ray of hand, minimum of 3 views	15	12	$152.00	$30.66
71260 Ct scan of chest with contrast	15	13	$1696.00	$179.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$77.00	$16.11
82150 Amylase (enzyme) level	12	12	$66.00	$8.71
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$84.00	$10.67
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$81.00	$30.94

Medical Specialties & State Licenses

CMS Verified: 2026-03-27

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL OS10451

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License FL OS10451

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Csr

02001471B (IN)

Commercial Insurance / Payer ID Bcbsfl

17085 (FL)

Commercial Insurance / Payer ID Indiana License

02001471A (IN)

Commercial Insurance / Payer ID Florida Licence

0S10451 (FL)

Hospital & Practice Group Affiliations

Florida Health Care Plan Inc

2777 Enterprise Rd, Orange City, FL 327638310

Phone: 3867742550

Secondary Practice Locations

4260 Park Blvd N

Pinellas Park, FL 337813645

Phone: 7273718483

222 S Peninsula Dr

Daytona Beach, FL 321184422

Phone: 3863102160

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Geeta Sahgal , MD

Internal Medicine

NPI 1194794123

Doctor of Medicine (M.D.)

Dr. Gregory Mccarthy , MD

Internal Medicine

NPI 1235273285

Doctor of Medicine (M.D.)

Mary Aiken , ARNP

Nurse Practitioner

NPI 1366412629

Advanced Registered Nurse Practitioner

Dr. Rachel Quarberg , MD

Family Medicine

NPI 1528387743

Doctor of Medicine (M.D.)

Dr. Vladimir Bakalov , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1700025160

Doctor of Medicine (M.D.)

Dr. Nikita Gosalia , DO

Internal Medicine

NPI 1861788390

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address May 24, 2023

Registered at 2777 ENTERPRISE RD, ORANGE CITY, FL 327638310 (Tel: 3867742550)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2023

General Practice (License #OS10451 in FL)

📍

Updated Practice Location November 03, 2020

Registered at 2777 ENTERPRISE RD, ORANGE CITY, FL 327638310 (Tel: 3867742550)

📍

Updated Business Mailing Address November 03, 2020

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

✅

NPI Profile Active January 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2014

Registered at 3420 DUCK AVE, KEY WEST, FL 330404427 (Tel: 3052965358)

📍

Updated Business Mailing Address January 31, 2014

Registered at 1614 SOUTH ST, KEY WEST, FL 330403515 (Tel: 3057353920)

👤

Provider Name / Credentials Updated January 31, 2014

Recorded as KRIS BLY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2014

Emergency Medicine (License #OS10451 in FL)

🟢

Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497700223

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2006

Last Update: March 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2777 Enterprise Rd

Orange City, FL 327638310

Phone: 3867742550

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

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