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DR. KEVIN ENPEI LAI M.D.
NPI 1164659751
Ophthalmology - Neuro-ophthalmology in Carmel, IN

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
10300 N ILLINOIS ST STE 1000, CARMEL, IN 46290(317) 805-2240 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Aug 29, 2023, Mar 18, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Kevin Enpei Lai M.d. NPPES

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

DR. KEVIN ENPEI LAI M.D. (NPI 1164659751) is an individual neuro-ophthalmology provider in Carmel, Indiana, licensed in Indiana (01074332A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1164659751
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameDR. KEVIN ENPEI LAICredential: M.D.
Location Address10300 N ILLINOIS ST STE 1000Carmel, IN 46290-1167
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0325
Phone(317) 805-2240
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateOctober 8, 20245 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1164659751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License✔ Licensed in IN · 01074332A
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedOphthalmologyTaxonomy 207W00000X · License BP20038801 (TX), 01074332 (IN), 29647 (OK), TP796 (KY)
10300 N ILLINOIS ST STE 1000, Carmel, IN 46290
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1301 E Muhammad Ali BlvdLouisville, KY 40202-1511 · Phone (502) 588-0550
Location 21945 Cei DrBlue Ash, OH 45242-5664 · Phone (513) 984-5133
Location 35850 Innovation DrMiddletown, OH 45005-5188 · Phone (513) 984-5133
Location 489 Sylvania DrDayton, OH 45440-3281 · Phone (419) 578-4367

Other Identifiers 2

Medicaid200484970AOK
Medicaid201241380IN

Accepted Insurance

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

Dr. Kevin Enpei Lai M.d. 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 ID7618116534
PECOS Enrollment IDI20231011001518, I20241108002541
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 10

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
92 services71 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
89 services60 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
64 services58 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
58 services49 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.
49 services49 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.
48 services42 patients

Hospital Affiliations CMS Care Compare

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46290 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 2

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

CIRCLE CITY NEURO-OPHTHALMOLOGY, LLC
Ophthalmology
10300 N ILLINOIS ST STE 1000
CARMEL, IN 46290
Hamilton County (317) 805-2240
LAI VISION AND SURGERY, LLC
Ophthalmology
10300 N ILLINOIS ST STE 1000
CARMEL, IN 46290
Hamilton County (317) 805-2240

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 Kevin Lai's NPI number?

The NPI number for Kevin Lai is 1164659751. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Kevin Lai located?

Kevin Lai practices at 10300 N Illinois St Ste 1000, Carmel, IN 46290. The listed phone number is (317) 805-2240.

What is Kevin Lai's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Kevin Lai enrolled in Medicare?

Yes. Kevin 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 Kevin Lai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 9 other insurers list Kevin 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 Kevin Lai affiliated with any hospitals?

According to CMS data, Kevin Lai is affiliated with Bethesda North.

When was this NPI record last updated?

The NPPES record for Kevin Lai was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.