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DR. MICHAEL A. LAM MD
NPI 1336190883
Internal Medicine - Cardiovascular Disease in Kinston, NC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
2503 N QUEEN ST, KINSTON, NC 28501(252) 523-6000(252) 527-8500 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2021, Jul 12, 2018, Jun 16, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Michael A. Lam Md NPPES

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

DR. MICHAEL A. LAM MD (NPI 1336190883) is an individual cardiovascular disease provider in Kinston, North Carolina, licensed in North Carolina (2008-01675) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1336190883
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL A. LAMCredential: MD
Location Address2503 N QUEEN STKinston, NC 28501-1632
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(252) 523-6000
Fax(252) 527-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 21, 20256 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1336190883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in NC · 2008-01675✔ Licensed in SC · 11269✔ Licensed in IL · 036177106✔ Licensed in KY · 20894✔ Licensed in GA · 068051
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2503 N QUEEN ST, Kinston, NC 28501
Open in Google Maps ↗

Secondary Practice Location 1

Location 14600 Memorial Dr Ste W1Belleville, IL 62226-5359 · Phone (618) 233-3066 · Fax (618) 233-3180

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, Molina Healthcare and more.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

Dr. Michael A. Lam Md 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 ID2062492390
PECOS Enrollment IDI20251022004654
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

8

Medicare enrollment records show Michael Lam reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Regional Physician Services
79 mi
Clinic/Center
1249 CHICKEN FOOT RD STE C
Hope Mills, NC 28348
  • Reassigned Medicare billing, North Carolina enrollment
  • 122 clinicians in this Medicare group
NPI 1093389231 (910) 779-1967
Forsyth Memorial Hospital, Inc.
141 mi
Endocrinology, Diabetes & Metabolism
1941 NEW GARDEN RD STE 216
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1124522933 (336) 992-1351
Novant Health Mint Hill Medical Center, LLC
174 mi
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
NPI 1063910404 (980) 302-1000
Hampton Regional Medical Center
262 mi
Rural
595 CAROLINA AVE WEST
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 49 clinicians in this Medicare group
NPI 1487651949 (803) 943-1217
Phoebe Family Medicine,coffee County
401 mi
Clinic/Center
200 DOCTORS DR, STE 224
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1477997278 (912) 384-2353
Adena Medical Group LLC
410 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Ohiohealth Corporation
433 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100
Fairview Heights Medical Group, Sc
749 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
213 services213 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
133 services132 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.
117 services111 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

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.
84%646 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%137 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
71%273 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%225 patients4/55-star benchmark: 99%
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…
81%455 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
84%232 patients4/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%225 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%225 patients1/55-star benchmark: 59%
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 5

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

WILSON PROFESSIONAL SERVICES TREATMENT CENTER
Clinic/Center (Methadone)
2503 N QUEEN ST
KINSTON, NC 28501
Lenoir County (208) 283-7792
CAROLINAEAST PHYSICIANS
Internal Medicine (Cardiovascular Disease)
2503 N QUEEN ST
KINSTON, NC 28501
Lenoir County (252) 523-6000
MRS. LOIS WALTERS SULLIVAN ANP
Nurse Practitioner (Adult Health)
2503 N QUEEN ST
KINSTON, NC 28501
Lenoir County (252) 523-6000
MARQUITA SHANTA HARRIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2503 N QUEEN ST
KINSTON, NC 28501
Lenoir County (252) 595-9320
VIKRAM GAHLOT
Internal Medicine (Cardiovascular Disease)
2503 N QUEEN ST
KINSTON, NC 28501
Lenoir County (412) 482-7286

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 Michael Lam's NPI number?

The NPI number for Michael Lam is 1336190883. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Michael Lam located?

Michael Lam practices at 2503 N Queen St, Kinston, NC 28501. The listed phone number is (252) 523-6000.

What is Michael Lam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Lam enrolled in Medicare?

Yes. Michael Lam 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 Michael Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lam reassigns Medicare benefits to 8 organizations: Southeastern Regional Physician Services (Hope Mills, NC), Forsyth Memorial Hospital, Inc. (Greensboro, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC), Hampton Regional Medical Center (Varnville, SC), Phoebe Family Medicine,coffee County (Douglas, GA) and 3 more organizations, listed in the Medicare section above. 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 Michael Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lam accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Michael Lam 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 Michael Lam affiliated with any hospitals?

According to CMS data, Michael Lam is affiliated with Memorial Hospital and Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lam was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.