2026 NPPES data Family Medicine Physician NPI 1831345214 M.D.
Verify on CMS →

NGOC LY, M.D.

Family Medicine Physician in FREDERICKSBURG, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 509 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

NGOC LY, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,359 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
94%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

NGOC LY, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

NGOC LY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about NGOC LY, M.D.?

Below national average

NPI registry status

Active

Issued 08/17/2008

NPI 1831345214

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,359 31% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

NGOC LY, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Family Medicine Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

NGOC LY, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 3031 PLANK RD, FREDERICKSBURG, VA, 22401, with a listed phone of (540) 736-5043. NPI 1831345214 was issued on 08/17/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,359 prescription claims written by this provider, covering 509 Medicare beneficiaries and totaling roughly $128K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 0.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3031 PLANK RD
FREDERICKSBURG, VA 22401

Provider Details

NPI 1831345214
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/17/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where NGOC LY, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PROGRESSIVE URGENT CARE PC
ANNANDALE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

NGOC LY, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 2,359 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,359
Total Claims
$128K
Total Drug Cost
509
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,069
Total Day Supply
137,300
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$79K
Generic Drug Cost
$49K
Opioid Claims
14 (0.6% rate)
Antibiotic Claims
240

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
0.98
Gender Split
60% female / 40% male
Age Distribution
<65: 28, 65-74: 263, 75-84: 146, 85+: 72

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What NGOC LY, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
205
Losartan Potassium
178
Amlodipine Besylate
103
Metformin Hcl
102
Prednisone
95
Famotidine
89
Cefuroxime
Cefuroxime Axetil
66
Azithromycin
58
Triamcinolone Acetonide
58
Olmesartan Medoxomil
56

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How NGOC LY, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

NGOC LY, M.D.'s 2,359 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as LY.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NGOC LY, M.D.'s specialty?
NGOC LY, M.D. specializes in Family Medicine Physician and practices in FREDERICKSBURG, Virginia. Credentials: M.D..
How much does NGOC LY, M.D. prescribe under Medicare Part D?
In 2023, NGOC LY, M.D. wrote 2,359 Medicare Part D claims totaling $128K in drug costs for 509 beneficiaries.
What is NGOC LY, M.D.'s Medicare quality score?
NGOC LY, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NGOC LY, M.D. located?
NGOC LY, M.D. is located at 3031 PLANK RD, FREDERICKSBURG, VA, 22401. Phone: (540) 736-5043.
What is NGOC LY, M.D.'s NPI number?
NGOC LY, M.D.'s National Provider Identifier (NPI) is 1831345214, issued on 08/17/2008.
Does NGOC LY, M.D. prescribe more brand-name or generic drugs?
NGOC LY, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $79K in brand drug costs.
Does NGOC LY, M.D. prescribe opioids?
Yes, NGOC LY, M.D. had 14 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does NGOC LY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NGOC LY, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NGOC LY, M.D. accept Medicare?
NGOC LY, M.D. appears in CMS Medicare data with 2,359 Part D claims and 509 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NGOC LY, M.D.'s credentials?
NGOC LY, M.D.'s NPI is 1831345214 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology