Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAWRENCE KAIQI HOU DO
NPI 1306465562
Family Medicine in Petaluma, CA

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
91.4/100
CMS Quality Rating
400 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 778-1111 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Aug 17, 2023, Apr 8, 2020 (3 updates tracked since 2020).

About Lawrence Kaiqi Hou Do NPPES

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

LAWRENCE KAIQI HOU DO (NPI 1306465562) is an individual family medicine provider in Petaluma, California, licensed in California (20A24528) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306465562
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLAWRENCE KAIQI HOUCredential: DO
Location Address400 N MCDOWELL BLVDPetaluma, CA 94954-2369
Mailing Address137 Amanda WayWindsor, CA 95492-9122
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1306465562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A24528✔ Licensed in OR · DO215339
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 N MCDOWELL BLVD, Petaluma, CA 94954

Secondary Practice Locations 4

Location 13600 NW Samaritan DrCorvallis, OR 97330-3737 · Phone (541) 768-4906
Location 21165 Montgomery DrSanta Rosa, CA 95405-4897 · Phone (707) 525-5300
Location 31375 University StHealdsburg, CA 95448-3382 · Phone (707) 431-6500
Location 4930 SW Abbey StNewport, OR 97365-4820 · Phone (541) 265-2244

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawrence Kaiqi Hou Do 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 ID9436572849
PECOS Enrollment IDI20230815001219, I20260423000940
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Lawrence Hou reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
Family Medicine
33184 HIGHWAY 228
Halsey, OR 97348
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1073879227 (Oregon)
  • 416 clinicians in this Medicare group
Rural Health
920 SW RANGE DRIVE
Waldport, OR 97394
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1568543692 (Oregon)
  • 332 clinicians in this Medicare group
Family Medicine
5234 SW PHILOMATH BLVD
Corvallis, OR 97333
  • Reassigned Medicare billing, Oregon enrollment
  • 522 clinicians in this Medicare group
Family Medicine
1700 GEARY ST SE STE 400
Albany, OR 97322
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
149 services59 patients
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.
65 services64 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.
51 services51 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.
30 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380014
Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County
Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381314
Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

91.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier16 claims1,020 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier15 claims15 services$22.53 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 20

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

Registered Nurse
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Nurse Practitioner
400 N MCDOWELL BLVD
PETALUMA, CA 94954
General Acute Care Hospital
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Internal Medicine
400 N MCDOWELL BLVD
PETALUMA, CA 94954

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 Lawrence Hou's NPI number?

The NPI number for Lawrence Hou is 1306465562. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Lawrence Hou located?

Lawrence Hou practices at 400 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 778-1111.

What is Lawrence Hou's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lawrence Hou enrolled in Medicare?

Yes. Lawrence Hou 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.

Which organizations bill Medicare for Lawrence Hou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Hou reassigns Medicare benefits to 5 organizations: Providence Medical Foundation (Santa Rosa, CA), Mid-Valley Healthcare, Inc. (Halsey, OR), Samaritan Pacific Health Services, Inc. (Waldport, OR), Good Samaritan Hospital Corvallis (Corvallis, OR) and Albany General Hospital (Albany, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Hou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Hou accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Lawrence Hou 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 Lawrence Hou affiliated with any hospitals?

According to CMS data, Lawrence Hou is affiliated with Good Samaritan Regional Medical Center, Samaritan Albany General Hospital and Samaritan Pacific Community Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Hou was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.