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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TONY C LAM MD
NPI 1093742314
Obstetrics & Gynecology in Goodyear, AZ

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395(480) 964-2273(623) 792-8397 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tony C Lam Md NPPES

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

TONY C LAM MD (NPI 1093742314) is an individual obstetrics & gynecology provider in Goodyear, Arizona, licensed in Missouri (R2P87) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093742314
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTONY C LAMCredential: MD
Location Address13471 W CORNERSTONE BLVDGoodyear, AZ 85395-2713
Mailing Address13471 W Cornerstone BlvdGoodyear, AZ 85395-2713 · (480) 964-2273 · Fax (623) 792-8397
Phone(480) 964-2273
Fax(623) 792-8397
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1093742314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · R2P87
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
13471 W CORNERSTONE BLVD, Goodyear, AZ 85395
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1800 Ste Genevieve DrSte Genevieve, MO 63670-1434 · Phone (573) 883-5715 · Fax (573) 883-2463
Location 21627 Gibson AveWest Plains, MO 65775-1873 · Phone (417) 256-1838
Location 31100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 257-9111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tony C Lam 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 ID4284603176
PECOS Enrollment IDI20040928000486
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Tony Lam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
898 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri and Mississippi enrollments
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
898 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Obhg Missouri, PC
1,105 mi
Obstetrics & Gynecology
1423 N JEFFERSON AVE
Springfield, MO 65802
  • Reassigned Medicare billing, Missouri enrollment
  • 41 clinicians in this Medicare group
NPI 1154672095 (800) 967-2289
Ozarks Medical Center
1,146 mi
Wound Care
39 MEDICAL DRIVE
Gainesville, MO 65655
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
NPI 1619620705 (417) 679-4613
South Central Missouri Community Health Center
1,170 mi
Federally Qualified Health Center (FQHC)
165 PARK DRIVE
St. Robert, MO 65584
  • Reassigned Medicare billing, Missouri enrollment
  • 27 clinicians in this Medicare group
NPI 1558070102 (573) 426-2407
Ste. Genevieve County Memorial Hospital
1,279 mi
Foot Surgery
255 BODERMAN STE 2C
Bloomsdale, MO 63627
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1154871143 (Missouri)
  • 54 clinicians in this Medicare group
NPI 1104692946 (573) 883-2751

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
32 services22 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.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

LESLIE MYA ALMANZA
Behavior Technician
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
DIANA V PEREZ
Case Manager/Care Coordinator
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
GRACE MARY RUETTINGER PA
Nurse Practitioner (Psychiatric/Mental Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
MRS. CHERRIEE MILYNN DESHONG WHNP
Nurse Practitioner (Women's Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
MELIA KAY COX DO
Family Medicine
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
BONTE GBEMUDU M.D.
Family Medicine
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
DR. MARKETTA TOLIVER DNP, APRN, FNP-C
Nurse Practitioner (Family)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
ADELANTE HEALTHCARE INC
Pharmacy (Clinic Pharmacy)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (844) 551-6691

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 Tony Lam's NPI number?

The NPI number for Tony Lam is 1093742314. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Tony Lam located?

Tony Lam practices at 13471 W Cornerstone Blvd, Goodyear, AZ 85395. The listed phone number is (480) 964-2273.

What is Tony Lam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tony Lam enrolled in Medicare?

Yes. Tony Lam 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.

Which organizations bill Medicare for Tony Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Lam reassigns Medicare benefits to 6 organizations: Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Obhg Missouri, PC (Springfield, MO), Ozarks Medical Center (Gainesville, MO), South Central Missouri Community Health Center (St. Robert, MO) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tony Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Lam accept?

Health plans from Anthem Blue Cross and Blue Shield, Health Advantage and Octave list Tony Lam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tony Lam affiliated with any hospitals?

According to CMS data, Tony Lam is affiliated with Ozarks Healthcare and Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Tony Lam was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.