DR. FRANK C. LAI M.D.
NPI 1023067329
Urology in Mountain View, CA

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2495 HOSPITAL DR STE 425, MOUNTAIN VIEW, CA 94040(650) 962-4662(650) 643-0014 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Mar 6, 2020 (2 updates tracked since 2020).

About Dr. Frank C. Lai M.d. NPPES

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

DR. FRANK C. LAI M.D. (NPI 1023067329) is an individual urology provider in Mountain View, California, licensed in California (A67706) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1023067329
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. FRANK C. LAICredential: M.D.
Location Address2495 HOSPITAL DR STE 425Mountain View, CA 94040-4196
Mailing Address2495 Hospital Dr Ste 425Mountain View, CA 94040-4196 · (650) 962-4662 · Fax (650) 643-0014
Fax(650) 643-0014
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateMay 6, 2006
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1023067329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A67706
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2495 HOSPITAL DR STE 425, Mountain View, CA 94040

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

Dr. Frank C. Lai M.d. 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 ID5698793289
PECOS Enrollment IDI20051102000563
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 36

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.

Injection, testosterone undecanoate, 1 mg J3145
Testosterone undecanoate is a medication given through injection to help regulate hormone levels in the body. It's typically used when the body doesn't produce enough of a certain hormone on its own. The dosage is 1 mg.
88,500 services34 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,700 services12 patients
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.
1,882 services997 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
466 services377 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
224 services211 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
222 services209 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
80%1,148 patients4/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier44 claims3,960 services$6.05 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers34 claims104 services$9.40 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers18 claims56 services$6.29 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$4.92 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 3

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

Urology
2495 HOSPITAL DR STE 425
MOUNTAIN VIEW, CA 94040
Urology
2495 HOSPITAL DR STE 425
MOUNTAIN VIEW, CA 94040
Urology
2495 HOSPITAL DR STE 425
MOUNTAIN VIEW, CA 94040

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 Frank Lai's NPI number?

The NPI number for Frank Lai is 1023067329. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Frank Lai located?

Frank Lai practices at 2495 Hospital Dr Ste 425, Mountain View, CA 94040. The listed phone number is (650) 962-4662.

What is Frank Lai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Frank Lai enrolled in Medicare?

Yes. Frank 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 Frank Lai was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.