1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Ophthalmology
  6. NPI Profile

KEVIN LAI MD
NPI 1457614968
Ophthalmology in New York, NY

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
139 CENTRE ST STE 610, NEW YORK, NY 10013(212) 966-5880 Get Directions Write a Review

NPPES record last updated: February 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Lai Md NPPES

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

KEVIN LAI MD (NPI 1457614968) is an individual ophthalmology provider in New York, New York, licensed in New York (265642) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457614968
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN LAICredential: MD
Location Address139 CENTRE ST STE 610New York, NY 10013-4556
Mailing Address139 Centre St Ste 610New York, NY 10013-4556
Phone(212) 966-5880
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 19, 2012
Last NPPES UpdateFebruary 3, 2018
✔ NPI 1457614968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 265642
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
139 CENTRE ST STE 610, New York, NY 10013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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

Kevin 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 ID7113230277
PECOS Enrollment IDI20150717001734
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

2

Medicare enrollment records show Kevin Lai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vision Care Ophthalmology PC
Same address
Ophthalmology
139 CENTRE ST STE 610
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1619739547 (212) 966-5880
Icahn School Of Medicine At Mount Sinai
5.5 mi
Ophthalmology
5 E 98TH ST FL 7, BOX 1183
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 155 clinicians in this Medicare group
NPI 1437421252 (212) 241-0939

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 13

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
184 services137 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
175 services171 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
171 services171 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
115 services115 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
104 services104 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
69 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%47 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.

Other Providers at the Same Location NPPES 2

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

VISION CARE OPHTHALMOLOGY PC
Ophthalmology
139 CENTRE ST STE 610
NEW YORK, NY 10013
New York County (212) 966-5880
ZI RUI LI OD
Optometrist
139 CENTRE ST STE 610
NEW YORK, NY 10013
New York County (212) 966-5880

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 Kevin Lai's NPI number?

The NPI number for Kevin Lai is 1457614968. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Kevin Lai located?

Kevin Lai practices at 139 Centre St Ste 610, New York, NY 10013. The listed phone number is (212) 966-5880.

What is Kevin Lai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Lai enrolled in Medicare?

Yes. Kevin 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 Kevin Lai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Lai reassigns Medicare benefits to 2 organizations: Vision Care Ophthalmology PC (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, 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 Kevin Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Lai accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Kevin 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 Kevin Lai was last updated on February 3, 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.