HSIAO LING LAI M.D.
NPI 1285841379
Internal Medicine - Nephrology in Greenville, NC

Q: What is Hsiao Lai's NPI number?

The NPI number for Hsiao Lai is 1285841379. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Hsiao Lai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hsiao Lai was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

2355 W ARLINGTON BLVD, GREENVILLE, NC 27834(252) 744-2545(252) 744-1817 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Dec 4, 2020 (2 updates tracked since 2020).

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About Hsiao Ling Lai M.d. NPPES

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

HSIAO LING LAI M.D. (NPI 1285841379) is an individual nephrology provider in Greenville, North Carolina, licensed in North Carolina (2009-01839) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1285841379

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameHSIAO LING LAICredential: M.D.

Location Address2355 W ARLINGTON BLVDGreenville, NC 27834-2847

Mailing AddressPo Box 751069Charlotte, NC 28275-1069

Phone(252) 744-2545

Fax(252) 744-1817

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2001

Enumeration DateMay 17, 2007

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1285841379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in NC · 2009-01839✔ Licensed in OH · 35.086333

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.

Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License 35.086333 (OH), 2009-01839 (NC)

2355 W ARLINGTON BLVD, Greenville, NC 27834

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Secondary Practice Location 1

Location 12150 Herbert CtGreenville, NC 27834-3736 · Phone (252) 744-4965 · Fax (252) 744-1514

Other Identifiers 2

Other1541KNC · Bcbsnc

Medicaid5913024NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, 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

Hsiao Ling 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 ID3476691338

PECOS Enrollment IDI20091112000650

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 5

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 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.

68 services48 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.

67 services35 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.

47 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services17 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 19

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

EAST CAROLINA UNIVERSITY

Internal Medicine (Nephrology)

2355 W ARLINGTON BLVD, NEPHROLOGY/HYPERTENSION CLINIC
GREENVILLE, NC 27834

Pitt County (252) 744-2207

GARGI SHARMA PRIAMVADA M.B.,B.S.

Internal Medicine (Nephrology)