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DR. YUN-LAI SUN MD
NPI 1225120132
General Practice in Lorain, OH

Active since September 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 36D0334289 · Microscopy
5295 OBERLIN AVE, LORAIN, OH 44053(440) 282-7679(440) 282-5742 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yun-lai Sun Md NPPES

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

DR. YUN-LAI SUN MD (NPI 1225120132) is an individual general practice provider in Lorain, Ohio, licensed in Ohio (35040233) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through May 31, 2028, and is affiliated with Mercy Regional Medical Center.

NPPES Registry Identity

NPI1225120132
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. YUN-LAI SUNCredential: MD
Location Address5295 OBERLIN AVELorain, OH 44053-3435
Mailing Address5295 Oberlin AveLorain, OH 44053-3435 · (440) 282-7679 · Fax (440) 282-5742
Phone(440) 282-7679
Fax(440) 282-5742
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 26, 2012
✔ NPI 1225120132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 35040233
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5295 OBERLIN AVE, Lorain, OH 44053
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Other Identifiers 3

Medicare ID-Type UnspecifiedSU0491247OH
Medicaid0472877OH
Medicare UPINA79903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, UnitedHealthcare.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. Yun-lai Sun 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 ID5698961498
PECOS Enrollment IDI20101118001148
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0334289

Yun-Lai Sun MD · Lorain, OH
Active · expires May 31, 2028
CLIA Number36D0334289
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorYun Lai Sun MD
Laboratory Phone(440) 282-7679
Laboratory LocationYun-Lai Sun MD5295 Oberlin Avenue, Lorain, OH 44053
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 6

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.
273 services139 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.
71 services47 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.
61 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 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.
23 services15 patients
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Q2035
The Afluria vaccine helps protect against the flu. Suitable for individuals aged 3 and up, it's injected into a muscle. The vaccine contains parts of the flu virus to stimulate your body's immune response, but not the live virus, so it can't give you the flu.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%119 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%157 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%225 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%86 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers20 claims41 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims15 services$1.09 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

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

YUN-LAI SUN MD INC
General Practice
5295 OBERLIN AVE
LORAIN, OH 44053
Lorain County (440) 282-7679

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 Yun-lai Sun's NPI number?

The NPI number for Yun-lai Sun is 1225120132. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Yun-lai Sun located?

Yun-lai Sun practices at 5295 Oberlin Ave, Lorain, OH 44053. The listed phone number is (440) 282-7679.

What is Yun-lai Sun's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Yun-lai Sun enrolled in Medicare?

Yes. Yun-lai Sun 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.

Does Yun-lai Sun hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0334289) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Yun-lai Sun accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and UnitedHealthcare list Yun-lai Sun 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 Yun-lai Sun affiliated with any hospitals?

According to CMS data, Yun-lai Sun is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Yun-lai Sun was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.