DANIEL C LAI MD
NPI 1164485280
Otolaryngology in Olean, NY

Q: What is Daniel Lai's NPI number?

The NPI number for Daniel Lai is 1164485280. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Daniel Lai's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Lai was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

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: August 09, 2026.

On this page

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 Jones Memorial 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

Phone(716) 372-7205

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

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Other Identifiers 1

Medicaid02079463NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 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.

509 services352 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.

483 services291 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.

386 services240 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.

208 services135 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.

174 services166 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.

169 services159 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

157 services157 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

85 services85 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

71 services61 patients

Exam of the nose and throat using an endoscope 92511

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

45 services42 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

23 services17 patients

Control of bleeding of nose using an endoscope 31238

This is a procedure where an endoscope, a thin tube with a light and camera, is used to view inside your nose. This allows the doctor to locate the source of the bleeding and control it, often by cauterization or packing the nose.

15 services11 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

13 services12 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330096

Location191 North Main StreetWellsville, NY 14895 · Allegany County

Emergency services Birthing friendly

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

Quality

100

Improvement Activities

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 19

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

ZAFAR K MIRZA GASTROENTEROLOGY PLLC

Internal Medicine (Gastroenterology)

2223 W STATE ST, SUITE 115
OLEAN, NY 14760

Cattaraugus County (716) 372-5601

GREAT LAKES HEARING SERVICES INC

Hearing Aid Equipment

2223 W STATE ST, SUITE 102
OLEAN, NY 14760

Cattaraugus County (716) 372-7205

DR. ZAFAR K MIRZA MD

Internal Medicine (Gastroenterology)

2223 W STATE ST, SUITE 115
OLEAN, NY 14760

Cattaraugus County (716) 372-5601

ZAHEER U BABAR, MD, PC

Internal Medicine (Gastroenterology)

2223 W STATE ST, SUITE 115
OLEAN, NY 14760

Cattaraugus County (716) 372-5601

JODIE NOLL LMT

Specialist

2223 W STATE ST, SUITE 111
OLEAN, NY 14760

Cattaraugus County (716) 307-3943

DR. SAM JAYANTH SAMUEL MD

Internal Medicine (Gastroenterology)

2223 W STATE ST
OLEAN, NY 14760

Cattaraugus County (716) 372-5601

SAFIULLAH M MALIK MD FACS

Surgery

2223 W STATE ST, SUITE 109
OLEAN, NY 14760

Cattaraugus County (716) 372-3474

MRS. KESHA STEIGHNER PA

Physician Assistant (Medical)

2223 W STATE ST, #115
OLEAN, NY 14760

Cattaraugus County (716) 372-5601

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 Daniel Lai's NPI number?

The NPI number for Daniel Lai is 1164485280. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Daniel Lai located?

Daniel Lai practices at 2223 W State St Suite 102, Olean, NY 14760. The listed phone number is (716) 372-7205.

What is Daniel Lai's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Lai enrolled in Medicare?

Yes. Daniel 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.

What insurance does Daniel Lai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Daniel Lai 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 Daniel Lai affiliated with any hospitals?

According to CMS data, Daniel Lai is affiliated with Jones Memorial Hospital, Olean General Hospital, Upmc Chautauqua At Wca and Warren General Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Lai was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.