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Dr. Kim Ly , DO

Internal Medicine β€’ Everett, WA

Active NPI 1972798122 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2930 Maple St
Everett, WA 982013832

Call 4252611692 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

2930 Maple St

Everett, WA 982013832

Telephone 4252611692
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Washington Facility NPI 1386935351

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

30-day fills

2,860 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

$36,467 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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $121.62 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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 Everett and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Internal Medicine in Everett, WA (2024, 84 clinicians with data). Median for this group: 148. Middle half: 59 to 2,913.

Close to the middle for clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Everett, WA (2024, 84 clinicians with data). Median for this group: $9,716. Middle half: $738 to $137,389.

Close to the middle for clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.

174 active clinicians are listed under Internal Medicine with a practice address in Everett, WA (3,081 in Washington).

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

Telehealth indicator in Everett

12.1% of these 174 clinicians have the CMS telehealth indicator.

71.8% of these 174 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $121.62.

Manufacturer Payment Nature Product Type Amount ($)
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
β€” General $121.62

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 118 9,991 $1,486.59 48
Gabapentin Gabapentin 75 4,555 $1,485.82 32
Lisinopril Lisinopril 74 6,354 $946.49 38
Amlodipine Besylate Amlodipine Besylate 72 5,872 $855.20 36
Losartan Potassium Losartan Potassium 53 4,590 $684.53 24
Meloxicam Meloxicam 49 2,010 $338.49 21
Levothyroxine Sodium Levothyroxine Sodium 47 3,900 $857.50 21
Furosemide Furosemide 40 2,389 $439.04 17
Duloxetine Hcl Duloxetine Hcl 39 2,190 $655.22 12
Trazodone Hcl Trazodone Hcl 38 2,970 $571.54 18
Tamsulosin Hcl Tamsulosin Hcl 32 2,518 $678.88 14
Metformin Hcl Metformin Hcl 30 2,199 $391.31 16
Atenolol Atenolol 28 2,100 $352.12 β€”
Omeprazole Omeprazole 28 2,216 $384.83 15
Hydralazine Hcl Hydralazine Hcl 27 1,440 $374.53 β€”
Rosuvastatin Calcium Rosuvastatin Calcium 26 2,340 $283.26 12
Sertraline Hcl Sertraline Hcl 24 1,369 $445.79 β€”
Ipratropium Bromide Ipratropium Bromide 24 797 $783.62 β€”
Hydrochlorothiazide Hydrochlorothiazide 23 1,770 $228.36 16
Pregabalin Pregabalin 22 650 $222.77 β€”
Simvastatin Simvastatin 21 1,890 $231.21 11
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 21 570 $417.11 β€”
Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide 21 1,680 $234.95 12
Albuterol Sulfate Hfa Albuterol Sulfate 21 372 $340.83 15
Potassium Chloride Potassium Chloride 20 1,291 $406.24 β€”

(top 25 shown)

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: 2021-04-27
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA OP00001825

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES CA 20A7092

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.

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: Washington State Department of Health Provider Lookup.
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

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20040720000271

Enrollment State Jurisdiction

WA

PECOS Control ID

4486633609

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of Washington

2930 Maple St, Everett, WA 982013832

Phone: 4252611500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Kathryn Adair , ARNP

Nurse Practitioner - Family

NPI 1689354458

Advanced Registered Nurse Practitioner

Dr. Paul Adams , DO

Internal Medicine

NPI 1376921288

Doctor of Osteopathic Medicine (D.O.)

Dr. Baljit Banga , MD

Internal Medicine

NPI 1780808014

Doctor of Medicine (M.D.)

Tobias Bengston

Physician Assistant

NPI 1336667914
Dr. Neeta Bhogal , MD

Family Medicine

NPI 1154473833

Doctor of Medicine (M.D.)

NPI 1942343777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Internal Medicine (license number reported to NPPES: WA OP00001825)

βœ…
NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2007

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611692)

πŸ“
Business Mailing Address (Initial Record) September 11, 2007

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611692)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2007

Recorded as KIM LY, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Internal Medicine (license number reported to NPPES: WA OP00001825)

🟒
Initial NPI Registration & Enumeration September 11, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972798122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: April 27, 2021
Sole Proprietor: No

Other Internal Medicine Providers in Everett

All Internal Medicine Providers in Everett

Mailing Address

2930 Maple St

Everett, WA 982013832

Phone: 4252611692

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.