Ange Mong Ly, M.D.
NPI 1114248218ActiveIndividual· Internal Medicine· Gresham, OR
Internal Medicine (M.D.) in Gresham, Oregon, trained at Oregon Health Sciences University School of Medicine (class of 2010). In 2024 Medicare paid $25,962 for 108 patients, and Part D covered 189 of their prescriptions, 87% of them generic.
Overview
| NPI | 1114248218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 13, 2010 |
| Last updated in NPPES | Jul 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD160078 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 108 |
|---|---|
| Services billed | 307 across 12 procedure codes |
| Paid by Medicare | $25,962 |
Part D prescriptions in 2024
| Prescriptions (claims) | 189 · 220 30-day fills |
|---|---|
| Patients | 78 |
| Total drug cost | $9,488 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Internal Medicine |
Medical group
- Legacy Clinics LLCPortland, OR · 713 clinicians
Hospital affiliation
- Legacy Mount Hood Medical CenterGresham, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Gresham
- 1134204340
- 1558354522
- 1861452765
- 1255369559
- 1346288123
- 1568805786
- 1982660700
- 1033183918
- 1104844661
- 1770561813
- 1508975715
- 1730133679