MS. LILY LAI MD
NPI 1114029188
Surgery in Duarte, CA

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1500 E DUARTE RD, DUARTE, CA 91010(626) 359-8111 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2020, Mar 17, 2018, Mar 8, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Lily Lai Md NPPES

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

MS. LILY LAI MD (NPI 1114029188) is an individual surgery provider in Duarte, California, licensed in California (G80261) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1993).

NPPES Registry Identity

NPI1114029188
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMS. LILY LAICredential: MD
Location Address1500 E DUARTE RDDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514 · Fax (626) 218-5310
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1993
Enumeration DateSeptember 1, 2006
Last NPPES UpdateNovember 11, 20204 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1114029188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · G80261
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1500 E DUARTE RD, Duarte, CA 91010

Other Identifiers 1

Medicaid00G802610CA

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

Ms. Lily 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 ID5799684023
PECOS Enrollment IDI20040106000633
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 4

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.
132 services82 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 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.
16 services11 patients
Removal of central venous tube with port or pump 36590
The removal of a central venous tube with port or pump is a procedure that eliminates a device implanted under your skin. This device helped deliver medication or nutrients directly into a large vein near your heart. Its removal involves a minor surgical procedure performed under local anesthesia.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers13 claims260 services$3.04 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers12 claims26 services$3.48 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
2 suppliers14 claims360 services$4.89 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers19 claims312 services$2.49 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers13 claims520 services$5.49 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers11 claims1,380 services$1.63 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.

Internal Medicine (Medical Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 E DUARTE RD
DUARTE, CA 91010
Pediatrics (Pediatric Hematology-Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist
1500 E DUARTE RD
DUARTE, CA 91010
Family Medicine (Hospice and Palliative Medicine)
1500 E DUARTE RD, DEPARTMENT OF SUPPORTIVE CARE
DUARTE, CA 91010
Physician Assistant
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist (Clinical)
1500 E DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 E DUARTE RD
DUARTE, CA 91010

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 Lily Lai's NPI number?

The NPI number for Lily Lai is 1114029188. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Lily Lai located?

Lily Lai practices at 1500 E Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.

What is Lily Lai's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lily Lai enrolled in Medicare?

Yes. Lily 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 Lily Lai was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.