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DIANE J LAI MD
NPI 1427619121
Pediatrics in Spartanburg, SC

Active since June 24, 2019PECOS Enrolled
249 N GROVE MEDICAL PARK DR STE 100, SPARTANBURG, SC 29303(864) 582-8135(864) 573-9757 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane J Lai Md NPPES

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

DIANE J LAI MD (NPI 1427619121) is an individual pediatrics provider in Spartanburg, South Carolina, licensed in South Carolina (88230) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1427619121
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIANE J LAICredential: MD
Location Address249 N GROVE MEDICAL PARK DR STE 100Spartanburg, SC 29303-4227
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 582-8135
Fax(864) 573-9757
Sole ProprietorNo
Enumeration DateJune 24, 2019
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1427619121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · 88230✔ Licensed in SC · LL82583
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
249 N GROVE MEDICAL PARK DR STE 100, Spartanburg, SC 29303
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Secondary Practice Location 1

Location 1Children's Hospital Outpatient Center, 14 Medical Park, Ste 400Columbia, SC 29203 · Phone (803) 434-6155 · Fax (803) 434-6979

Other Identifiers 1

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Diane J Lai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Diane Lai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group
19 mi
Gynecology
3093 S HIGHWAY 14 STE 101
Greer, SC 29650
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1003619313 (864) 720-1900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 3

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

WILLIAM FURTICK RANDALL MD
Pediatrics
249 N GROVE MEDICAL PARK DR STE 100
SPARTANBURG, SC 29303
Spartanburg County (864) 582-8135
MICHELLE LYNN PRIGGE MD
Pediatrics
249 N GROVE MEDICAL PARK DR STE 100
SPARTANBURG, SC 29303
Spartanburg County (864) 582-8135
AQIL EBUN SURKA MD
Pediatrics
249 N GROVE MEDICAL PARK DR STE 100
SPARTANBURG, SC 29303
Spartanburg County (864) 582-8135

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 Diane Lai's NPI number?

The NPI number for Diane Lai is 1427619121. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Diane Lai located?

Diane Lai practices at 249 N Grove Medical Park Dr Ste 100, Spartanburg, SC 29303. The listed phone number is (864) 582-8135.

What is Diane Lai's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Diane Lai enrolled in Medicare?

Yes. Diane Lai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Lai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Lai reassigns Medicare benefits to Prisma Health University Medical Group (Greer, SC). The 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 Diane Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Lai accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Diane 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.

When was this NPI record last updated?

The NPPES record for Diane Lai was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.