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DR. KAFAI LAI M.D
NPI 1316243603
Orthopaedic Surgery in Lewiston, NY

Active since February 03, 2011PECOS EnrolledAccepts Medicare Assignment
5320 MILITARY RD STE 107, LEWISTON, NY 14092(716) 297-1701 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Kafai Lai M.d NPPES

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

DR. KAFAI LAI M.D (NPI 1316243603) is an individual orthopaedic surgery provider in Lewiston, New York, licensed in New York (286819-1) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316243603
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KAFAI LAICredential: M.D
Location Address5320 MILITARY RD STE 107Lewiston, NY 14092-2149
Mailing Address5300 Military RdLewiston, NY 14092-1903 · (716) 297-4800
Phone(716) 297-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 3, 2011
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
✔ NPI 1316243603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 286819-1
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
5320 MILITARY RD STE 107, Lewiston, NY 14092
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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

Dr. Kafai 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 ID8628250925
PECOS Enrollment IDI20171128003429
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 Kafai Lai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount St. Mary's Hospital Of Niagara Falls
0.1 mi
General Acute Care Hospital
5300 MILITARY RD
Lewiston, NY 14092
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mount St. Marys Hospital Of Niagara Falls
  • 289 clinicians in this Medicare group
NPI 1043394745 (716) 298-2081
Trinity Medical Wny PC
4.0 mi
Family Medicine
7300 PORTER RD
Niagara Falls, NY 14304
  • Reassigned Medicare billing, New York enrollment
  • 332 clinicians in this Medicare group
NPI 1508408998 (716) 298-5862
Kenmore Mercy Hospital
14 mi
Rehabilitation Unit
2950 ELMWOOD AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1164436283 (716) 447-6100
Sisters Of Charity Hospital Of Buffalo New York
18 mi
Obstetrics & Gynecology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
NPI 1568090660 (716) 862-1000
Mercy Hospital Of Buffalo
24 mi
Rehabilitation Unit
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • 499 clinicians in this Medicare group
NPI 1659310605 (716) 826-7000

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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services22 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.
48 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
30 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14092 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

DR. STEPHEN EDWARD WATKINS D.O.
Orthopaedic Surgery
5320 MILITARY RD STE 107
LEWISTON, NY 14092
Niagara County (716) 297-1701

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 Kafai Lai's NPI number?

The NPI number for Kafai Lai is 1316243603. It was assigned to this individual provider in the NPPES registry on February 3, 2011.

Where is Kafai Lai located?

Kafai Lai practices at 5320 Military Rd Ste 107, Lewiston, NY 14092. The listed phone number is (716) 297-1701.

What is Kafai Lai's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kafai Lai enrolled in Medicare?

Yes. Kafai 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.

Which organizations bill Medicare for Kafai Lai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kafai Lai reassigns Medicare benefits to 5 organizations: Mount St. Mary's Hospital Of Niagara Falls (Lewiston, NY), Trinity Medical Wny PC (Niagara Falls, NY), Kenmore Mercy Hospital (Kenmore, NY), Sisters Of Charity Hospital Of Buffalo New York (Buffalo, NY) and Mercy Hospital Of Buffalo (Buffalo, NY). 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 Kafai Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kafai Lai affiliated with any hospitals?

According to CMS data, Kafai Lai is affiliated with Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Kafai Lai was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.