DR. SEAN C LAI M.D,
NPI 1396739470
Specialist in Santa Monica, CA

Q: What is Sean Lai's NPI number?

The NPI number for Sean Lai is 1396739470. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Sean Lai's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Lai was last updated on June 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2001 SANTA MONICA BLVD, SUITE 1286W, SANTA MONICA, CA 90404(310) 453-0553(310) 943-2776 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Sean C Lai M.d, NPPES

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

DR. SEAN C LAI M.D, (NPI 1396739470) is an individual specialist in Santa Monica, California and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1976).

NPPES Registry Identity

NPI1396739470

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SEAN C LAICredential: M.D,

Location Address2001 SANTA MONICA BLVD, SUITE 1286WSanta Monica, CA 90404-2102

Mailing Address2001 Santa Monica Blvd, Suite 1286wSanta Monica, CA 90404-2102 · (310) 453-0553 · Fax (310) 943-2776

Phone(310) 453-0553

Fax(310) 943-2776

Sole ProprietorYes

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1976

Enumeration DateSeptember 6, 2005

Last NPPES UpdateJune 17, 2015

✔ NPI 1396739470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2001 SANTA MONICA BLVD, Santa Monica, CA 90404

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Other Identifiers 2

Medicare UPIND33319CA

MedicaidG40912CA

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. Sean C 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 ID2264424001

PECOS Enrollment IDI20040331001729

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 15

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.

Follow-up hospital inpatient care per day, typically 25 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.

2,790 services206 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

268 services150 patients

Initial hospital inpatient care per day, typically 70 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.

232 services190 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

202 services117 patients

Stool analysis for blood, by peroxidase activity 82272

A stool analysis for blood, by peroxidase activity, is a test to detect blood in your stool. This test helps identify bleeding in the digestive tract. It involves collecting a stool sample, which is then checked for the presence of blood using a chemical reaction.

131 services92 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

112 services108 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

65 services65 patients

New patient office or other outpatient visit, 45-59 minutes 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.

52 services52 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

33 services33 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

29 services28 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

25 services23 patients

Conversion of stomach tube to tube in middle small bowel using an endoscope 44373

This is a procedure where an existing stomach tube is relocated to the middle part of the small intestine. An endoscope, a flexible tube with a camera, is used to guide the process. This can help with better digestion and nutrient absorption.

19 services13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

16 services16 patients

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services274 patients

Colonoscopy NAN13

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

0 services175 patients

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.

100/100

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

Individually scored

Quality

100

Improvement Activities

Cost

97.97

Reported Quality Measures

Advance Care Plan

100%179 patients5/55-star benchmark: 100%

Colorectal Cancer Screening

83%126 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

79%78 patients4/55-star benchmark: 98%

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation

100%41 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%602 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%250 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 164 patients

100%164 patients5/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 100% · 164 patients

100%164 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

10%58 patients1/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%83 patients5/55-star benchmark: 100%

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers13 claims39 services$6.27 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers14 claims21 services$17.08 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.

STEVEN H SILVERS DPM

Podiatrist (Foot & Ankle Surgery)

2001 SANTA MONICA BLVD, STE 983
SANTA MONICA, CA 90404

Los Angeles County (310) 829-2299

DR. NATHAN ROBERT ELSON M.D.

Internal Medicine (Gastroenterology)

2001 SANTA MONICA BLVD, SUITE 1170
SANTA MONICA, CA 90404

Los Angeles County (310) 828-9495

DR. STEPHEN M PATT MD

Family Medicine

2001 SANTA MONICA BLVD, #888 W
SANTA MONICA, CA 90404

Los Angeles County (310) 582-1114

STEPHEN LOUIS KUCHENBECKER

Surgery

2001 SANTA MONICA BLVD, 460 W
SANTA MONICA, CA 90404

Los Angeles County (310) 829-9400

DR. LAUREN L REAGER MD

Dermatology

2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404

Los Angeles County (310) 829-4484

GREGORY J COLMAN MD

Dermatology

2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404

Los Angeles County (310) 829-4484

MRS. KASEY DRAPEAU-DAMATO PAC

Physician Assistant (Surgical)

2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404

Los Angeles County (310) 829-4484

MR. PAUL LAWRENCE SMITH MD

Dermatology

2001 SANTA MONICA BLVD, 990W
SANTA MONICA, CA 90404

Los Angeles County (310) 829-4484

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 Sean Lai's NPI number?

The NPI number for Sean Lai is 1396739470. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Sean Lai located?

Sean Lai practices at 2001 Santa Monica Blvd Suite 1286W, Santa Monica, CA 90404. The listed phone number is (310) 453-0553.

What is Sean Lai's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sean Lai enrolled in Medicare?

Yes. Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Lai was last updated on June 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.