Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356962211 Individual Practitioner Female Practitioner

Tracey Ly , PA-C

Physician Assistant • Norfolk, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tracey Ly, PA-C is a certified Physician Assistant practicing in Norfolk, VA. With approximately 6 years of clinical experience since completing medical education in 2020, Tracey Ly delivers high-quality medical care to the local community at 600 GRESHAM DR STE 700.

Tracey Ly accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Gresham Dr Ste 700

Norfolk, VA 235071904

Telephone 7573881700
Fax 4238261290
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Norfolk, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
312 Specialists

Practicing in Norfolk, VA (4432 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ly (6 Years) 6 Yrs
Norfolk Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
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
41 39 $195.00 $118.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $197.00 $103.49
99213 Established patient office or other outpatient visit, typically 15 minutes
15 14 $147.00 $83.71

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110009247

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

NUCC Taxonomy Code: 363A00000X

State License CA 58446

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

NUCC Taxonomy Code: 363A00000X

State License NY 031055

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1356962211 (CA)

Secondary Practice Locations

65 W 36th St Fl 11, Office 11-05

New York, NY 100187936

Phone: 8888033370

415 N Crescent Dr Ste 320

Beverly Hills, CA 902106813

Phone: 8888033370

2800 Eisenhower Ave Ste 220

Alexandria, VA 223144587

Phone: 8888033370

333 1st St Ste A

San Francisco, CA 941052661

Phone: 8888033370

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Jesse Sinanan , MD

Radiology - Diagnostic Radiology

NPI 1144630823

Doctor of Medicine (M.D.)

Dr. Mougnyan Cox , MD

Radiology - Diagnostic Radiology

NPI 1255681151

Doctor of Medicine (M.D.)

Dr. Po-Hao Chen , MD, MBA

Radiology - Diagnostic Radiology

NPI 1386907244

Doctor of Medicine (M.D.), Master of Business Administration

Kenneth Sutton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1457918658

Certified Registered Nurse Anesthetist

Dr. Mary Hargis , MD

Radiology - Diagnostic Radiology

NPI 1639562911

Doctor of Medicine (M.D.)

Samuel Borofsky

Radiology - Diagnostic Radiology

NPI 1710273511

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2026

Physician Assistant (License #0110009247 in VA)

📍
Updated Practice Location November 18, 2025

Registered at 600 GRESHAM DR STE 700, NORFOLK, VA 235071904 (Tel: 7573881700)

📍
Updated Business Mailing Address November 18, 2025

Registered at 6275 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 235022851 (Tel: 7574660089)

📍
Updated Practice Location December 07, 2022

Registered at 333 1ST ST STE A, SAN FRANCISCO, CA 941052661 (Tel: 4158400560)

📍
Updated Business Mailing Address December 07, 2022

Registered at 333 1ST ST STE A, SAN FRANCISCO, CA 941052661 (Tel: 4158400560)

📍
Updated Practice Location November 11, 2020

Registered at 1212 S MAIN ST, SALINAS, CA 939012260 (Tel: 8314227777)

📍
Updated Business Mailing Address November 11, 2020

Registered at 100 WILSON RD STE 100, MONTEREY, CA 939407885 (Tel: 8312428392)

👤
Provider Name / Credentials Updated November 11, 2020

Recorded as TRACEY LY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Physician Assistant (License #58446 in CA)

NPI Profile Active May 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2020

Registered at 297 S 2ND ST, COCOA BEACH, FL 329312709 (Tel: 4084762962)

📍
Updated Business Mailing Address May 01, 2020

Registered at 297 S 2ND ST, COCOA BEACH, FL 329312709

👤
Provider Name / Credentials Updated May 01, 2020

Recorded as TRACEY LY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2020

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: 1356962211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2020
Last Update: April 20, 2026
Sole Proprietor: No

Mailing Address

6275 E Virginia Beach Blvd Ste 300

Norfolk, VA 235022851

Phone: 7574660089

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.