DANIEL C LAI MD
NPI 1164485280
Otolaryngology in Olean, NY

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
52.99/100
CMS Quality Rating
2223 W STATE ST, SUITE 102, OLEAN, NY 14760(716) 372-7205 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel C Lai Md NPPES

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

DANIEL C LAI MD (NPI 1164485280) is an individual otolaryngology provider in Olean, New York, licensed in New York (2173741) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Olean General Hospital, and is a graduate of Baylor College Of Medicine (1995).

NPPES Registry Identity

NPI1164485280
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDANIEL C LAICredential: MD
Location Address2223 W STATE ST, SUITE 102Olean, NY 14760-1938
Mailing Address2223 W State St, Suite 102Olean, NY 14760-1938 · (716) 372-7205 · Fax (716) 372-4792
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1995
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
NPI 1164485280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 2173741
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2223 W STATE ST, Olean, NY 14760

Other Identifiers 1

Medicaid02079463NY

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

Daniel C 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 ID2668373697
PECOS Enrollment IDI20051005000259, I20110324000742
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
451 services279 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
238 services183 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
210 services158 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
199 services176 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
199 services179 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
118 services92 patients

Hospital Affiliations CMS Care Compare 3

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

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14760 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

52.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0

Reported Quality Measures

Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
100%30 patients5/55-star benchmark: 100%
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.

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.

Audiologist
2223 W STATE ST, SUITE 102
OLEAN, NY 14760
Internal Medicine (Cardiovascular Disease)
2223 W STATE ST, SUITE 120
OLEAN, NY 14760
Colon & Rectal Surgery
2223 W STATE ST, SUITE 117
OLEAN, NY 14760
Internal Medicine (Gastroenterology)
2223 W STATE ST, SUITE 115
OLEAN, NY 14760
Ophthalmology
2223 W STATE ST
OLEAN, NY 14760
Otolaryngology
2223 W STATE ST, SUITE 102
OLEAN, NY 14760
Internal Medicine
2223 W STATE ST, SUITE 114
OLEAN, NY 14760
Ophthalmology
2223 W STATE ST, SUITE 107
OLEAN, NY 14760

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164485280, enumerated as an "individual" on April 10, 2006.

The provider is located at 2223 W STATE ST SUITE 102 OLEAN, NY 14760 and the phone number is (716) 372-7205.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Daniel Lai is affiliated with: OLEAN GENERAL HOSPITAL, UPMC CHAUTAUQUA AT WCA and WARREN GENERAL HOSPITAL.