Active NPI 1104100049 Individual Practitioner Female Practitioner

Dr. Lin Li , MD

Allergy & Immunology • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lin Li, MD is a certified Allergy & Immunology practicing in Edison, NJ. With approximately 18 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 2008, Dr. Li delivers high-quality medical care to the local community at 15 DOLORES DR.

Dr. Li accepts Medicare assignment.

Frequently performed procedures and clinical services include test for allergy using allergenic extract, established patient outpatient office visit, 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

15 Dolores Dr
Nj 08817

Edison, NJ 08817

Telephone 5853152433

Associated Practice Facility / Clinic

🏢 Lin Li, M.d., P.a. Facility NPI 1659805869

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Edison, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -11.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Edison, NJ (141 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Li (18 Years) 18 Yrs

Edison Specialty Average (29.0 Years) 29.0 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
95004 Test for allergy using allergenic extract	751	12	$10.00	$4.13
99213 Established patient office or other outpatient visit, typically 15 minutes	26	12	$150.77	$99.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$122.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	912	15	$11.20	$4.64
95165 Professional service for preparation and provision of 1 or more antigens	435	20	$36.90	$17.49
95117 Professional service for multiple injections of allergen	178	48	$52.95	$13.82
99213 Established patient office or other outpatient visit, typically 15 minutes	37	27	$160.68	$99.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$249.06	$123.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	746	14	$11.62	$4.61
95165 Professional service for preparation and provision of 1 or more antigens	599	25	$28.68	$18.50
95117 Professional service for multiple injections of allergen	270	54	$53.94	$13.88
99213 Established patient office or other outpatient visit, typically 15 minutes	69	41	$144.13	$100.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$309.23	$183.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$230.77	$125.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	783	15	$10.87	$4.88
95165 Professional service for preparation and provision of 1 or more antigens	545	21	$24.95	$18.85
95117 Professional service for multiple injections of allergen	243	50	$53.74	$13.42
99213 Established patient office or other outpatient visit, typically 15 minutes	81	41	$148.02	$100.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$293.33	$188.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$277.08	$116.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	918	14	$11.12	$5.00
95165 Professional service for preparation and provision of 1 or more antigens	525	22	$25.14	$17.17
95117 Professional service for multiple injections of allergen	319	66	$53.65	$12.59
99213 Established patient office or other outpatient visit, typically 15 minutes	53	39	$147.92	$82.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$179.55	$122.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,215	23	$12.98	$4.90
95165 Professional service for preparation and provision of 1 or more antigens	960	41	$23.39	$16.42
95117 Professional service for multiple injections of allergen	517	78	$54.26	$12.53
95024 Injection of allergenic extracts into skin for immediate reaction analysis	114	13	$19.37	$9.50
99213 Established patient office or other outpatient visit, typically 15 minutes	99	61	$149.80	$81.82
94010 Test to measure expiratory airflow and volume	41	30	$166.22	$41.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$177.03	$120.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$291.07	$180.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,207	25	$12.37	$6.00
95165 Professional service for preparation and provision of 1 or more antigens	1,035	45	$20.77	$14.65
95117 Professional service for multiple injections of allergen	590	77	$54.35	$11.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	53	$173.01	$115.54
99213 Established patient office or other outpatient visit, typically 15 minutes	68	46	$144.85	$78.58
94010 Test to measure expiratory airflow and volume	45	33	$173.33	$40.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$286.46	$177.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$254.62	$118.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	992	15	$11.89	$7.20
95117 Professional service for multiple injections of allergen	453	107	$55.00	$11.06
95165 Professional service for preparation and provision of 1 or more antigens	410	21	$20.00	$13.89
99213 Established patient office or other outpatient visit, typically 15 minutes	56	48	$125.00	$74.66
94010 Test to measure expiratory airflow and volume	45	34	$175.00	$37.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	18	$85.00	$44.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$279.69	$168.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$153.33	$109.45

Medical Specialties & State Licenses

CMS Verified: 2023-08-07

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License NJ 25MA08998100

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08998100

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

0280453 (NJ)

Commercial Insurance / Payer ID Empire Bc

7N0981 (NJ)

Commercial Insurance / Payer ID Coventry Health-First Health

1104100049 (NJ)

Commercial Insurance / Payer ID Horizon Bcbs

1104100049 (NJ)

Commercial Insurance / Payer ID Amerihealth

3869679000 (NJ)

Commercial Insurance / Payer ID Horizon N.j. Familycare

60177190 (NJ)

Commercial Insurance / Payer ID Cigna

7193009 (NJ)

Commercial Insurance / Payer ID Wellcare

1097116 (NJ)

Commercial Insurance / Payer ID United Heathlcare

1104100049 (NJ)

Commercial Insurance / Payer ID Aetna Ppo

9540774 (NJ)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2023

Internal Medicine (License #25MA08998100 in NJ)

✅

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2016

Registered at 15 DOLORES DR, NJ 08817, EDISON, NJ 08817 (Tel: 5853152433)

📍

Updated Business Mailing Address December 16, 2016

Registered at 15 DOLORES DR, NJ 08817, EDISON, NJ 08817 (Tel: 5853152433)

👤

Provider Name / Credentials Updated December 16, 2016

Recorded as LIN LI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Allergy & Immunology (License #25MA08998100 in NJ)

🟢

Initial NPI Registration & Enumeration October 10, 2011

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: 1104100049

Entity Type:

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

Enumeration Date: October 10, 2011

Last Update: August 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Dolores Dr, Nj 08817

Edison, NJ 08817

Phone: 5853152433

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.