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ANDREW SHIN LAI MD
NPI 1003983958
Internal Medicine in San Diego, CA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 455-9100 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Shin Lai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW SHIN LAI MD (NPI 1003983958) is an individual internal medicine provider in San Diego, California, licensed in California (A60440) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New York University Medical College - Nlg (1994).

NPPES Registry Identity

NPI1003983958
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW SHIN LAICredential: MD
Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 764-3150 · Fax (858) 764-3199
Phone(858) 455-9100
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 1994
Enumeration DateNovember 29, 2006
Last NPPES UpdateJanuary 3, 2020
✔ NPI 1003983958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A60440
Definition
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.
3811 VALLEY CENTRE DR, San Diego, CA 92130
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Other Identifiers 1

Medicaid00A604400CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Shin Lai Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022154723
PECOS Enrollment IDI20091012000029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
297 services163 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
248 services114 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
138 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services58 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers24 claims46 services$4.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$46.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$1.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR LYNN ROMERO NP
Nurse Practitioner
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-9080
DR. TODD M. HITCHCOCK M.D.
Internal Medicine (Cardiovascular Disease)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3110
MANDY HILLMER FNP-C, CPNP
Nurse Practitioner (Pediatrics)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3040
DR. RIO DION DICKENS M.D.
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3000
DR. HOLLY E. HAUSER M.D.
Family Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-9081
MITCH BIERMANN
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3320
DR. ILIA J.L. CHRISTY M.D.
Internal Medicine
3811 VALLEY CENTRE DR, S99
SAN DIEGO, CA 92130
San Diego County (858) 764-3000
ALISON CUSMANO FNP
Nurse Practitioner (Primary Care)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Lai's NPI number?

The NPI number for Andrew Lai is 1003983958. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Andrew Lai located?

Andrew Lai practices at 3811 Valley Centre Dr, San Diego, CA 92130. The listed phone number is (858) 455-9100.

What is Andrew Lai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Lai enrolled in Medicare?

Yes. Andrew Lai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Lai was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.