RAFAEL LAO M.D.
NPI 1265477053
Internal Medicine - Nephrology in Vincennes, IN

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
700 WILLOW ST STE 100, VINCENNES, IN 47591(812) 882-6416(812) 882-8620 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Nov 7, 2025, Jun 13, 2025 (3 updates tracked since 2025).

About Rafael Lao M.d. NPPES

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

RAFAEL LAO M.D. (NPI 1265477053) is an individual nephrology provider in Vincennes, Indiana, licensed in Indiana (01042614A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1265477053
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAFAEL LAOCredential: M.D.
Location Address700 WILLOW ST STE 100Vincennes, IN 47591-1029
Mailing Address4225 Lincolnshire Dr Ste BMount Vernon, IL 62864-2157 · (812) 882-6416 · Fax (812) 882-8620
Fax(812) 882-8620
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1982
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1265477053 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 IN · 01042614A
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.
700 WILLOW ST STE 100, Vincennes, IN 47591

Secondary Practice Locations 7

Location 1700 WILLOW ST STE 101VINCENNES, IN 47591-1029 · Phone (812) 882-6124
Location 2520 S 7th StVincennes, IN 47591-1038 · Phone (812) 882-6124
Location 3303 NW 11TH ST STE 1FAIRFIELD, IL 62837-1203 · Phone (812) 882-6124
Location 41302 E Main St Unit GRobinson, IL 62454-3753 · Phone (812) 882-6124
Location 51215 N ALLEN STROBINSON, IL 62454-1100 · Phone (812) 882-6124
Location 6117 N BOONE STOLNEY, IL 62450-2109 · Phone (812) 882-6124
Location 7310 NE 14th StWASHINGTON, IN 47501-2137 · Phone (812) 882-6124

Other Identifiers 1

Medicaid100384200BIN

Accepted 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

Rafael Lao 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 ID3678592086
PECOS Enrollment IDI20100120000341, I20101202000826
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 12

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.
610 services321 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
442 services86 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.
206 services65 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
160 services59 patients
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.
150 services52 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.
145 services69 patients

Hospital Affiliations CMS Care Compare 5

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141344
Location2200 State StLawrenceville, IL 62439 · Lawrence County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47591 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
95%197 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%995 patients4/55-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
42%368 patients2/55-star benchmark: 90%
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…
41%559 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 294 patients
100%294 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 368 patients
0%368 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

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

Nurse Practitioner (Acute Care)
700 WILLOW ST STE 100
VINCENNES, IN 47591

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 Rafael Lao's NPI number?

The NPI number for Rafael Lao is 1265477053. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Rafael Lao located?

Rafael Lao practices at 700 Willow St Ste 100, Vincennes, IN 47591. The listed phone number is (812) 882-6416.

What is Rafael Lao's specialty?

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

Is Rafael Lao enrolled in Medicare?

Yes. Rafael Lao 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 Rafael Lao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rafael Lao 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 Rafael Lao affiliated with any hospitals?

According to CMS data, Rafael Lao is affiliated with Fairfield Memorial Hospital 1, Crawford Memorial Hospital, Lawrence County Memorial Hospital, Clay County Hospital and Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Lao was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.