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Dr. Phong Ly , DDS

Dentist • Coon Rapids, MN

Active NPI 1790131761 Individual Practitioner Male Practitioner
Practice location in NPPES

9920 Foley Blvd Nw Ste 110
Coon Rapids, MN 554335216

Call 7633772110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9920 Foley Blvd Nw Ste 110

Coon Rapids, MN 554335216

Telephone 7633772110
Organization at the Same NPPES Address or Phone
Pl Dental Sc Facility NPI 1952140691

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

410 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,939 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $94.34 across 2 records.

By nature of payment

  • Food and Beverage: $94.34 across 2 records.

Reporting-company totals

  • Straumann USA LLC: $83.54 across 1 record.
  • VOCO America Inc.: $10.80 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ly has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ly as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Coon Rapids and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Dentist in Coon Rapids, MN (2024, 11 clinicians with data). Median for this group: 38. Middle half: 27 to 48.

More Part D prescriptions than 95% of clinicians listed under Dentist in Minnesota (2024, 752 clinicians with data). Median for this group: 30. Middle half: 17 to 54.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Dentist in Coon Rapids, MN (2024, 11 clinicians with data). Median for this group: $168. Middle half: $107 to $213.

A higher Part D drug cost than 95% of clinicians listed under Dentist in Minnesota (2024, 752 clinicians with data). Median for this group: $108. Middle half: $58 to $216.

16 active clinicians are listed under Dentist with a practice address in Coon Rapids, MN (1,796 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $94.34.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Food and Beverage
Cash or cash equivalent
— General $83.54
VOCO America Inc.
Food and Beverage
In-kind items and services
Bifix QM General $10.80

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 164 816 $468.27 117
Chlorhexidine Gluconate Chlorhexidine Gluconate 147 2,401 $817.02 116
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 36 84 $140.58 32
Methylprednisolone Methylprednisolone 28 168 $180.06 24
Azithromycin Azithromycin 18 90 $97.29 17
Clindamycin Hcl Clindamycin Hcl 17 160 $235.96 15

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MN D13699

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20160812000011

Enrollment State Jurisdiction

MN

PECOS Control ID

1951695030

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location August 06, 2019

Registered at 9920 FOLEY BLVD NW STE 110, COON RAPIDS, MN 554335216 (Tel: 7633772110)

📍
Updated Business Mailing Address August 06, 2019

Registered at 9920 FOLEY BLVD NW STE 110, COON RAPIDS, MN 554335216 (Tel: 7633171166)

âś…
NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 11, 2017

Registered at 964 LYNN RD SW, HUTCHINSON, MN 553503151 (Tel: 7633772110)

📍
Updated Practice Location April 11, 2017

Registered at 1700-2210 1ST AVE E, CAMBRIDGE, MN 55008 (Tel: 7633772110)

👤
Provider Name / Credentials Updated April 11, 2017

Recorded as PHONG LY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Dentist (license number reported to NPPES: MN D13699)

âś…
NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 07, 2016

Registered at 1700-2210 1ST AVE E, CAMBRIDGE, MN 55008 (Tel: 7633772110)

📍
Business Mailing Address (Initial Record) June 07, 2016

Registered at 1700-2210 1ST AVE E, CAMBRIDGE, MN 55008 (Tel: 7633772110)

👤
Provider Name / Credentials (Initial Record) June 07, 2016

Recorded as PHONG LY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Dentist (license number reported to NPPES: MN D13699)

🟢
Initial NPI Registration & Enumeration May 10, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790131761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2016
Last Update: November 12, 2025
Sole Proprietor: No

Other Dentists in Coon Rapids

All Dentists in Coon Rapids

Mailing Address

9920 Foley Blvd Nw Ste 110

Coon Rapids, MN 554335216

Phone: 7633171166

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.