Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114248218 Individual Practitioner Male Practitioner

Dr. Ange Mong Ly , MD

Internal Medicine • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ange Mong Ly, MD is a certified Internal Medicine practicing in Gresham, OR. With approximately 16 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2010, Dr. Ly delivers high-quality medical care to the local community at 24800 SE STARK ST.

Dr. Ly is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24800 Se Stark St

Gresham, OR 970303378

Telephone 5036741122
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gresham, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -6.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Gresham, OR (2185 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (16 Years) 16 Yrs
Gresham Specialty Average (22.8 Years) 22.8 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
103 50 $317.00 $117.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
96 44 $211.00 $78.31
99239 Hospital discharge day management, more than 30 minutes
39 37 $305.00 $114.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
35 35 $462.00 $169.58

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD160078

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

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Legacy Clinics Llc

24800 Se Stark St, Gresham, OR 970303378

Phone: 5034138988

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Kelly Leaf , MD

Emergency Medicine

NPI 1023071016

Doctor of Medicine (M.D.)

Daniel Berger

Emergency Medicine

NPI 1073539359
NPI 1154984763
Dr. Crystal Weis , MD

Emergency Medicine

NPI 1164657375

Doctor of Medicine (M.D.)

Sayre White , CNM, RN

Advanced Practice Midwife

NPI 1194319699

Certified Nurse Midwife, Registered Nurse

NPI 1265204747

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2013

Registered at 24800 SE STARK ST, GRESHAM, OR 970303378 (Tel: 5036741122)

📍
Updated Business Mailing Address July 05, 2013

Registered at 24800 SE STARK ST, GRESHAM, OR 970303378 (Tel: 5036741122)

👤
Provider Name / Credentials Updated July 05, 2013

Recorded as ANGE MONG LY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2013

Internal Medicine (License #MD160078 in OR)

🟢
Initial NPI Registration & Enumeration June 13, 2010

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: 1114248218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2010
Last Update: July 05, 2013
Sole Proprietor: No

Mailing Address

24800 Se Stark St

Gresham, OR 970303378

Phone: 5036741122

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.