DR. BRENDA LY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1871818617

DR. BRENDA LY (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD2018-0194 (NM). The NPI Number for DR. BRENDA LY (M.D.) is 1871818617

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENDA LY (M.D.)
NPI
1871818617
Phone
(102) 617-4445
Address
6918 CAMP BULLIS RD
Enumeration Date
5 April 2010
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2106174445
Graduation Year
2010 (16 years ago)
PAC ID
6002113743
Group Practice PAC ID
9032267323
Professional Enrollment ID
I20211208000203
Address ID
TX782562236SA6918XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:16State licenses:3Digital endpointsOther names

1,394 PATHOLOGY in TX

Provider Addresses for DR. BRENDA LY (M.D.)

  • 6918 CAMP BULLIS RD

    SAN ANTONIO, TX 782562236

    Phone: (102) 617-4445

    Type: Mailing

  • 640, Quantum Road Northeast, Rio Rancho, Sandoval County, New Mexico, 87124, United States

    RIO RANCHO, NM 871244506

    Phone: (505) 924-0209

    Fax: (505) 924-0210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160324000810IPathologyCATBD
I20211208000203IPathologyTXTBD
I20250203003423IPathologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88185Flow cytometry technique for dna or cell analysis, each additional marker1,16545$0
88341Special stained specimen slides to examine tissue, each additional procedure26663$0
88377Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure22355$0
88305Pathology examination of tissue using a microscope, intermediate complexity21698$0
88313Special stained specimen slides to examine tissue including interpretation and report18182$0
View full utilization report →

Insurance plans in this area (ZIP 78256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032267323View full group profile
NameSpecialtyState
Physician AssistantTX
P A T H O L O G YTX
P A T H O L O G YTX
Pathology, HematologyTX
P A T H O L O G YAZ

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Frequently asked questions

What unique ID ties claims to DR. BRENDA LY (M.D.)?
NPI 1871818617 is assigned to DR. BRENDA LY (M.D.) under the national enumeration system.
Is DR. BRENDA LY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. BRENDA LY (M.D.) as an active registrant.
What field does DR. BRENDA LY (M.D.) work in?
You can think of DR. BRENDA LY (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRENDA LY (M.D.)?
The page summarizes San Antonio, Texas for DR. BRENDA LY (M.D.); expand the address list for detail.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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