DAPHNE PHUONGDUNG LY (MD) – Surgery Physician, NPI 1710151626

DAPHNE PHUONGDUNG LY (MD) is a healthcare provider. based in Spokane, Washington. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD61593101 (WA). The NPI Number for DAPHNE PHUONGDUNG LY (MD) is 1710151626

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DAPHNE PHUONGDUNG LY (MD)
NPI
1710151626
Phone
(509) 482-2232
Address
212 E CENTRAL AVE STE 335
Enumeration Date
22 April 2008
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094822235
Graduation Year
1998 (28 years ago)
PAC ID
4385874007
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20240927001006
Address ID
WA992086290SP212XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

826 GENERAL SURGERY in WA

Provider Addresses for DAPHNE PHUONGDUNG LY (MD)

  • 212 E CENTRAL AVE STE 335

    SPOKANE, WA 992086289

    Phone: (509) 482-2232

    Type: Location

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone:

    Type: Mailing

  • West Las Positas Boulevard, Hacienda, Pleasanton, Alameda County, California, 94588, United States

    PLEASANTON, CA 945885802

    Phone: (925) 416-5430

    Type: Mailing

  • PO BOX 31001-4114

    PASADENA, CA 911100001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($190).

Total Amount

$449

General + Research + Ownership

Payments

4

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240927001006IGeneral SurgeryWATBD

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
76642Limited ultrasound scan of 1 breast3329$0
99205New patient office or other outpatient visit, 60-74 minutes2828$0
99214Established patient office or other outpatient visit, 30-39 minutes2719$0
99213Established patient office or other outpatient visit, 20-29 minutes2722$0
99215Established patient office or other outpatient visit, 40-54 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 99208)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DAPHNE PHUONGDUNG LY (MD)'s NPI?
Yes. DAPHNE PHUONGDUNG LY (MD) is listed with NPI 1710151626 in the public NPI dataset.
Can I rely on DAPHNE PHUONGDUNG LY (MD) being an active provider?
As of the registry snapshot, DAPHNE PHUONGDUNG LY (MD) is marked active.
What is DAPHNE PHUONGDUNG LY (MD) best known for clinically?
Directory data describes DAPHNE PHUONGDUNG LY (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DAPHNE PHUONGDUNG LY (MD)?
DAPHNE PHUONGDUNG LY (MD)'s geographic hint is Spokane, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.