TIDA LAM D.O
NPI 1114331204
Family Medicine in Wake Forest, NC

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
1964 S MAIN ST, WAKE FOREST, NC 27587(919) 554-0177(919) 554-9277 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tida Lam D.o NPPES

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

TIDA LAM D.O (NPI 1114331204) is an individual family medicine provider in Wake Forest, North Carolina, licensed in Massachusetts (271164) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114331204
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIDA LAMCredential: D.O
Location Address1964 S MAIN STWake Forest, NC 27587
Mailing Address10900 World Trade BlvdRaleigh, NC 27617-4202 · (630) 740-0574 · Fax (603) 228-7307
Fax(919) 554-9277
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateMay 7, 2019
NPI 1114331204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 271164
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1964 S MAIN ST, Wake Forest, NC 27587

Secondary Practice Locations 2

Location 1135 Jackson StLowell, MA 01852-2103 · Phone (978) 937-9700
Location 21964 S Main StWake Forest, NC 27587-9336 · Phone (919) 554-0177 · Fax (919) 554-9277

Accepted Insurance

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

Tida Lam D.o 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 ID3375760200
PECOS Enrollment IDI20190529001342
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
153 services21 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.
138 services65 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services44 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.
42 services42 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.
40 services28 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
39 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 8

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

Clinic/Center
1964 S MAIN ST
WAKE FOREST, NC 27587
Physician Assistant
1964 S MAIN ST
WAKE FOREST, NC 27587
Psychologist
1964 S MAIN ST
WAKE FOREST, NC 27587
Family Medicine
1964 S MAIN ST
WAKE FOREST, NC 27587
Physician Assistant
1964 S MAIN ST
WAKE FOREST, NC 27587
Psychologist
1964 S MAIN ST
WAKE FOREST, NC 27587
Family Medicine
1964 S MAIN ST
WAKE FOREST, NC 27587
Nurse Practitioner (Family)
1964 S MAIN ST
WAKE FOREST, NC 27587

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 Tida Lam's NPI number?

The NPI number for Tida Lam is 1114331204. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Tida Lam located?

Tida Lam practices at 1964 S Main St, Wake Forest, NC 27587. The listed phone number is (919) 554-0177.

What is Tida Lam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tida Lam enrolled in Medicare?

Yes. Tida 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.

What insurance does Tida Lam accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tida 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.

When was this NPI record last updated?

The NPPES record for Tida Lam was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.