DR. EDWARD CHI LAI M.D.
NPI 1255481701
Ophthalmology in New York, NY

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE, 11TH FLOOR, NEW YORK, NY 10021(646) 962-2020 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Chi Lai M.d. NPPES

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

DR. EDWARD CHI LAI M.D. (NPI 1255481701) is an individual ophthalmology provider in New York, New York, licensed in New York (237433) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Tufts University School Of Medicine (2003).

NPPES Registry Identity

NPI1255481701
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EDWARD CHI LAICredential: M.D.
Location Address1305 YORK AVE, 11TH FLOORNew York, NY 10021-5663
Mailing Address1305 York AveNew York, NY 10021-5663 · (646) 962-2020
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2003
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
NPI 1255481701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 237433
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 237433 (NY)
1305 YORK AVE, New York, NY 10021

Other Identifiers 1

OtherA400042196NY · Medicare Id

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. Edward Chi 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 ID7719087832
PECOS Enrollment IDI20070702000670
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,196 services1,131 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
323 services287 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
303 services303 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
218 services150 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
206 services205 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
140 services140 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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
1305 YORK AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021
Optometrist (Corneal and Contact Management)
1305 YORK AVE, 11TH FL
NEW YORK, NY 10021

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 Edward Lai's NPI number?

The NPI number for Edward Lai is 1255481701. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Edward Lai located?

Edward Lai practices at 1305 York Ave 11th Floor, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Edward Lai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Edward Lai enrolled in Medicare?

Yes. Edward 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.

Is Edward Lai affiliated with any hospitals?

According to CMS data, Edward Lai is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Edward Lai was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.