DR. HING HUNG HENRY LAI MD
NPI 1376676734
Urology in Iowa City, IA

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-2421(319) 356-3949 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jan 30, 2026, Nov 14, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Hing Hung Henry Lai Md NPPES

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

DR. HING HUNG HENRY LAI MD (NPI 1376676734) is an individual urology provider in Iowa City, Iowa, licensed in Iowa (MD-55946) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376676734
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. HING HUNG HENRY LAICredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-2421 · Fax (319) 356-3949
Fax(319) 356-3949
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 17, 20264 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1376676734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in IA · MD-55946 Licensed in MO · 2007009839
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License MD-55946 (IA)
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Locations 2

Location 1500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 248-7945
Location 2105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000

Other Identifiers 2

Medicaid205474703MO
MedicaidENROLLEDIL

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

Dr. Hing Hung Henry Lai 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 ID4587762513
PECOS Enrollment IDI20070614000249, I20260224004297
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 20

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,301 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
190 services151 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
184 services150 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.
168 services134 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
123 services113 patients
Insertion of device into abdomen with pressure and urine flow rate study 51797
This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.
117 services107 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier50 claims9,048 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers86 claims18,640 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers63 claims10,480 services$5.65 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers17 claims69 services$7.21 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$6.00 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims285 services$0.23 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.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Hing Hung Lai's NPI number?

The NPI number for Hing Hung Lai is 1376676734. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Hing Hung Lai located?

Hing Hung Lai practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-2421.

What is Hing Hung Lai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Hing Hung Lai enrolled in Medicare?

Yes. Hing Hung 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.

What insurance does Hing Hung Lai accept?

Health plans from Cox HealthPlans list Hing Hung Lai 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 Hing Hung Lai affiliated with any hospitals?

According to CMS data, Hing Hung Lai is affiliated with Memorial Hospital, University Of Iowa Hospital & Clinics, Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Hing Hung Lai was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.