Active NPI 1710195268 Individual Practitioner Male Practitioner

Dr. Dustin N Ly , MD

Internal Medicine • Saint Cloud, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Ly, MD is a certified Internal Medicine practicing in Saint Cloud, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Ly delivers high-quality medical care to the local community at 4737 OLD CANOE CREEK RD.

Dr. Ly is affiliated with East Lake Medical Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood glucose (sugar) test performed by hand-held instrument, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4737 Old Canoe Creek Rd

Saint Cloud, FL 347691400

Telephone 4077053222

Associated Practice Facility / Clinic

🏢 East Lake Medical Clinic Facility NPI 1790124741

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Cloud, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Saint Cloud, FL (10650 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (17 Years) 17 Yrs

Saint Cloud Specialty Average (21.5 Years) 21.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	510	127	$192.67	$122.42
82962 Blood glucose (sugar) test performed by hand-held instrument	94	35	$15.99	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$199.04	$125.48
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$131.27	$86.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	18	$45.74	$13.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$299.93	$154.76
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	20	13	$106.30	$101.80
90471 Administration of 1 vaccine	19	18	$75.00	$19.57
G0008 Administration of influenza virus vaccine	18	17	$31.90	$31.26
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	12	$55.66	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	12	$125.00	$50.28
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	14	14	$127.36	$22.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$142.31	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	590	134	$192.67	$122.22
82962 Blood glucose (sugar) test performed by hand-held instrument	113	36	$15.99	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$199.04	$125.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	33	$258.14	$170.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	23	$45.74	$13.34
G0008 Administration of influenza virus vaccine	38	37	$31.90	$29.44
99213 Established patient office or other outpatient visit, typically 15 minutes	37	28	$131.27	$80.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	35	$55.99	$21.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$299.93	$165.04
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	26	11	$106.30	$101.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	25	23	$99.50	$61.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	18	12	$25.79	$1.62
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	17	$125.00	$50.28
81002 Urinalysis, manual test	16	13	$35.76	$3.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$55.66	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$33.07	$14.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	573	134	$192.67	$120.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$200.33	$126.85
82962 Blood glucose (sugar) test performed by hand-held instrument	82	29	$15.99	$3.24
90662 Influenza vaccine split virus, preservative free	57	53	$126.64	$67.37
G0008 Administration of influenza virus vaccine	57	53	$32.14	$28.75
99213 Established patient office or other outpatient visit, typically 15 minutes	45	28	$131.27	$81.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$299.93	$166.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	22	$45.74	$12.87
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	31	24	$125.00	$50.65
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	26	13	$106.30	$103.98
93000 Routine ekg using at least 12 leads including interpretation and report	23	20	$33.07	$14.22
J1885 Injection, ketorolac tromethamine, per 15 mg	18	11	$35.99	$0.58
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	15	15	$125.00	$27.75
83036 Hemoglobin A1C level	13	13	$24.01	$9.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	12	12	$99.50	$62.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	484	117	$192.67	$127.65
82962 Blood glucose (sugar) test performed by hand-held instrument	84	29	$15.99	$3.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$200.54	$131.90
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$131.27	$89.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	20	$45.74	$14.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$299.93	$164.48
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	22	21	$125.00	$26.77
99496 Transitional care management services for problem of high complexity	15	14	$416.21	$279.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	14	13	$99.50	$40.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	91	$192.67	$107.10
99213 Established patient office or other outpatient visit, typically 15 minutes	172	79	$131.27	$70.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	143	56	$184.28	$105.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	39	$127.71	$73.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$201.24	$116.66
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	36	11	$106.30	$106.81
99497 Advance care planning, first 30 minutes	29	28	$89.99	$86.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$299.93	$166.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$45.74	$13.59
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$33.07	$17.12
99496 Transitional care management services for problem of high complexity	14	11	$416.21	$233.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	674	156	$184.28	$103.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	115	$192.67	$105.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	429	99	$127.71	$72.80
99213 Established patient office or other outpatient visit, typically 15 minutes	179	89	$131.27	$73.41
99497 Advance care planning, first 30 minutes	83	74	$89.99	$79.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$199.40	$111.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	40	$45.74	$15.43
99497 Advance care planning, first 30 minutes	53	51	$89.99	$84.91
82962 Blood glucose (sugar) test performed by hand-held instrument	43	13	$15.99	$3.21
99496 Transitional care management services for problem of high complexity	39	29	$416.21	$224.64
G0008 Administration of influenza virus vaccine	36	34	$31.90	$15.79
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	34	15	$106.30	$105.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	34	34	$55.99	$18.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$362.97	$198.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$299.93	$165.11
J1885 Injection, ketorolac tromethamine, per 15 mg	20	16	$35.99	$0.51
81002 Urinalysis, manual test	19	15	$35.76	$3.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$94.25	$52.81
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$33.07	$16.88
J0696 Injection, ceftriaxone sodium, per 250 mg	16	16	$28.24	$0.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$304.29	$170.38
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	11	$55.66	$16.22
94010 Test to measure expiratory airflow and volume	11	11	$66.26	$34.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	533	164	$188.23	$102.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	129	$192.67	$102.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	329	103	$132.92	$71.41
99213 Established patient office or other outpatient visit, typically 15 minutes	302	111	$131.27	$70.89
82962 Blood glucose (sugar) test performed by hand-held instrument	82	30	$15.99	$3.12
99497 Advance care planning, first 30 minutes	71	69	$89.99	$83.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$260.68	$115.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	31	$45.74	$19.65
99497 Advance care planning, first 30 minutes	42	37	$91.18	$79.53
G0008 Administration of influenza virus vaccine	40	40	$31.90	$18.54
90756 Vaccine for influenza for injection into muscle	39	39	$38.90	$20.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$299.93	$164.73
99496 Transitional care management services for problem of high complexity	34	24	$416.21	$218.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$304.29	$169.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$382.12	$193.50
81002 Urinalysis, manual test	21	12	$35.76	$3.41
J0696 Injection, ceftriaxone sodium, per 250 mg	17	11	$28.24	$0.62
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$33.07	$16.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$97.10	$50.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,120	190	$189.49	$102.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	137	$192.67	$104.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	415	98	$139.14	$68.78
99213 Established patient office or other outpatient visit, typically 15 minutes	112	55	$131.27	$70.42
99497 Advance care planning, first 30 minutes	80	70	$91.18	$81.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	41	$45.74	$24.01
82962 Blood glucose (sugar) test performed by hand-held instrument	64	26	$15.99	$3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$235.34	$113.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$299.93	$161.03
99497 Advance care planning, first 30 minutes	49	45	$91.53	$76.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$387.08	$196.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$304.63	$164.59
99496 Transitional care management services for problem of high complexity	39	24	$416.21	$222.66
G0008 Administration of influenza virus vaccine	37	37	$31.90	$23.94
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	37	37	$38.90	$18.27
J0696 Injection, ceftriaxone sodium, per 250 mg	29	23	$28.24	$0.60
J1885 Injection, ketorolac tromethamine, per 15 mg	22	15	$35.99	$0.67
81002 Urinalysis, manual test	18	13	$35.76	$3.43
99239 Hospital discharge day management, more than 30 minutes	14	14	$195.25	$104.06
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$33.07	$15.74
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$295.99	$163.80

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME114777

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

East Lake Medical Clinic

4737 Old Canoe Creek Rd, Saint Cloud, FL 347691400

Phone: 4077053222

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2014

Registered at 4737 OLD CANOE CREEK RD, SAINT CLOUD, FL 347691400 (Tel: 4077053222)

📍

Updated Business Mailing Address January 02, 2014

Registered at 4737 OLD CANOE CREEK RD, SAINT CLOUD, FL 347691400 (Tel: 4077053222)

👤

Provider Name / Credentials Updated January 02, 2014

Recorded as DUSTIN LY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Internal Medicine (License #ME114777 in FL)

🟢

Initial NPI Registration & Enumeration May 18, 2007

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: 1710195268

Entity Type:

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

Enumeration Date: May 18, 2007

Last Update: January 02, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4737 Old Canoe Creek Rd

Saint Cloud, FL 347691400

Phone: 4077053222

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.