Active NPI 1518948090 Individual Practitioner Female Practitioner

Dr. Yan Li , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Yan Li, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Li delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dr. Li is affiliated with Umass Memorial Medical Group Inc 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Internal Medicine

Worcester, MA 016550002

Telephone 5083342056

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +20.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Li (40 Years) 40 Yrs

Worcester Specialty Average (19.4 Years) 19.4 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	63	42	$445.00	$67.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$389.00	$43.50
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$300.00	$44.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$178.00	$19.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$594.14	$85.97

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	101	63	$395.61	$71.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$389.00	$42.14
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$277.94	$45.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$499.79	$86.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$178.00	$16.31

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	102	67	$359.00	$80.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$389.00	$51.18
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$244.00	$49.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$178.00	$21.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	23	$482.00	$100.92

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	153	76	$357.03	$75.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$387.51	$62.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	30	$479.48	$106.05
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$241.80	$39.60
99443 Telephone medical discussion with physician, 21-30 minutes	31	25	$382.00	$104.53

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	143	81	$316.00	$81.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$348.00	$124.14
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$214.00	$52.64
99443 Telephone medical discussion with physician, 21-30 minutes	31	22	$300.71	$83.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$429.00	$117.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$517.00	$182.83

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	232	139	$313.67	$82.01
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$213.00	$52.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$348.00	$122.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$429.00	$116.16

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	254	142	$296.00	$81.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$348.00	$122.09
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$199.00	$53.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$420.00	$110.58

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	264	131	$296.47	$80.50
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$199.00	$52.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$348.00	$119.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$413.48	$114.12

Medical Specialties & State Licenses

CMS Verified: 2020-11-04

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 215981

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0199419 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Hillary Irons , MD

Emergency Medicine

NPI 1003041971

Doctor of Medicine (M.D.)

Eileen Duhamel , NP

Nurse Practitioner

NPI 1003054727

Nurse Practitioner

Ewa Hryniszyn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003056284

Certified Registered Nurse Anesthetist

Helen Copsey , PA-C

Physician Assistant

NPI 1003066804

Physician Assistant (Certified)

Dr. Adepeju Champion , MD

Internal Medicine

NPI 1003090499

Doctor of Medicine (M.D.)

Sowmya Korapati

Internal Medicine - Hematology & Oncology

NPI 1003108259

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2009

Registered at 55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE, WORCESTER, MA 016550002 (Tel: 5083342056)

📍

Updated Business Mailing Address April 13, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 13, 2009

Recorded as YAN LI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2009

Internal Medicine (License #215981 in MA)

🟢

Initial NPI Registration & Enumeration November 10, 2005

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: 1518948090

Entity Type:

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

Enumeration Date: November 10, 2005

Last Update: November 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.