Active NPI 1265789945 Individual Practitioner Female Practitioner

Stacy W Li , R-PAC

Physician Assistant • Elmhurst, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Li, R-PAC is a certified Physician Assistant practicing in Elmhurst, NY. With approximately 14 years of clinical experience since completing medical education in 2012, Stacy Li delivers high-quality medical care to the local community at 4012 80TH ST.

Stacy Li is affiliated with Metro Dermatology Of Ny,P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, skin application of tar and ultraviolet b or petrolatum and ultraviolet b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4012 80th St

Elmhurst, NY 113731234

Telephone 7188869000

Associated Practice Facility / Clinic

🏢 Metro Dermatology Of Ny,pc Facility NPI 1336343268

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elmhurst, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +7.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

147 Specialists

Practicing in Elmhurst, NY (15701 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Li (14 Years) 14 Yrs

Elmhurst Specialty Average (7.0 Years) 7.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$206.42	$86.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	22	$212.27	$88.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$267.51	$111.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$298.80	$125.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	29	$170.72	$91.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	13	$250.54	$129.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$256.62	$116.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$170.72	$94.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	14	$250.54	$133.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$170.72	$76.08
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$176.14	$79.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	101	14	$250.00	$118.59
99213 Established patient office or other outpatient visit, typically 15 minutes	52	35	$170.72	$73.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$250.54	$107.61
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$176.14	$76.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$256.62	$108.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	68	16	$247.74	$116.56
99213 Established patient office or other outpatient visit, typically 15 minutes	46	30	$170.72	$71.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	27	$250.54	$106.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	62	$168.27	$69.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$246.20	$102.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	14	$12.50	$1.81
11100 Biopsy of single growth of skin and/or tissue	25	22	$246.17	$96.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$101.55	$42.78
17110 Destruction of up to 14 skin growths	20	12	$266.13	$111.72
11900 Injection into skin growth, 1-7 growths	16	12	$130.25	$45.66

Medical Specialties & State Licenses

CMS Verified: 2022-02-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 015855

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NY 015855

Definition to come...

Hospital & Practice Group Affiliations

Metro Dermatology Of Ny,p.c.

25707 Union Tpke, Glen Oaks, NY 110041250

Phone: 7188869000

Metro Dermatology Of Ny,p.c.

257 -07 Union Tpke, Glen Oaks, NY 110041250

Metro Dermatology Of Ny,p.c.

41 -61 Kissena Blvd, Flushing, NY 113553105

Metro Dermatology Of Ny,p.c.

4161 Kissena Blvd, Flushing, NY 113553105

Phone: 7188869000

Metro Dermatology Of Ny,p.c.

4012 80th St, Elmhurst, NY 113731234

Phone: 7188869000

Secondary Practice Locations

14472 Northern Blvd Ste 203

Flushing, NY 113544231

Phone: 7188869000

Practice Associates & Co-Workers

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

18 Associated Practitioners

Emmanuel Agnant , PA

Physician Assistant

NPI 1043488943

Physician Assistant

Curtis Chen , PA-C

Physician Assistant - Medical

NPI 1083334619

Physician Assistant (Certified)

Dr. Marie Leger , MD

Dermatology

NPI 1144483843

Doctor of Medicine (M.D.)

Samantha Hussain , PA

Physician Assistant - Medical

NPI 1235774811

Physician Assistant

Jessica Senge , PA

Physician Assistant - Medical

NPI 1295070035

Physician Assistant

Dr. Stephanie Hu , MD

Dermatology

NPI 1326270968

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 February 14, 2022

Registered at 4012 80TH ST, ELMHURST, NY 113731234 (Tel: 7188869000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2022

Physician Assistant (License #015855 in NY)

✅

NPI Profile Active August 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2012

Registered at 4161 KISSENA BLVD STE 5A, FLUSHING, NY 113553105 (Tel: 7188869000)

📍

Updated Business Mailing Address August 13, 2012

Registered at 4161 KISSENA BLVD STE 5A, FLUSHING, NY 113553105 (Tel: 7188869000)

👤

Provider Name / Credentials Updated August 13, 2012

Recorded as STACY LI, R-PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Physician Assistant (License #015855 in NY)

🟢

Initial NPI Registration & Enumeration August 13, 2012

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: 1265789945

Entity Type:

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

Enumeration Date: August 13, 2012

Last Update: February 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4161 Kissena Blvd Ste 5a

Flushing, NY 113553105

Phone: 7188869000

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.