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DR. FRANKLIN LAM M.D.
NPI 1194166280
Internal Medicine - Nephrology in Farmington, NM

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
58.66/100
CMS Quality Rating
812 W MAPLE ST, FARMINGTON, NM 87401(053) 266-5215(505) 325-6699 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2018, Sep 20, 2018 (2 updates tracked since 2018).

About Dr. Franklin Lam M.d. NPPES

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

DR. FRANKLIN LAM M.D. (NPI 1194166280) is an individual nephrology provider in Farmington, New Mexico, licensed in New Mexico (MD2018-0778) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194166280
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. FRANKLIN LAMCredential: M.D.
Location Address812 W MAPLE STFarmington, NM 87401-5631
Mailing Address312 S Lake StFarmington, NM 87401-5620 · (505) 326-6521 · Fax (505) 325-6699
Phone(053) 266-5215
Fax(505) 325-6699
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 17, 2013
Last NPPES UpdateNovember 8, 20182 updates tracked since enumeration
✔ NPI 1194166280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NM · MD2018-0778
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
812 W MAPLE ST, Farmington, NM 87401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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. Franklin Lam 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 ID3274835384
PECOS Enrollment IDI20181023003301, I20181107000513, I20181115002072, I20190109001979, I20190301001666
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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
241 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
238 services100 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.
231 services122 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
188 services97 patients
Hemodialysis procedure requiring repeated evaluation 90937
Hemodialysis is a treatment that filters waste and excess fluids from your blood when your kidneys can't do this adequately. It's an ongoing process, requiring regular evaluations to monitor and adjust the treatment for optimal results.
131 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
127 services96 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

58.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Improvement Activities0
Cost67.81

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$17.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers22 claims22 services$92.29 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier21 claims21 services$20.05 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 2

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

DR. MARK BEVAN M.D.
Internal Medicine (Nephrology)
812 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 326-6521
DANIEL TAIWO ADENEYE MD
Internal Medicine (Nephrology)
812 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 326-6521

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 Franklin Lam's NPI number?

The NPI number for Franklin Lam is 1194166280. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Franklin Lam located?

Franklin Lam practices at 812 W Maple St, Farmington, NM 87401. The listed phone number is (053) 266-5215.

What is Franklin Lam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Franklin Lam enrolled in Medicare?

Yes. Franklin 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 Franklin Lam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Franklin 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.

Is Franklin Lam affiliated with any hospitals?

According to CMS data, Franklin Lam is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Franklin Lam was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.