DR. LAY-HWA LOU MD
NPI 1477667285
Internal Medicine in Fremont, CA

Active since August 18, 2006PECOS Enrolled
56.48/100
CMS Quality Rating
2333 MOWRY AVE, SUITE 300, FREMONT, CA 94538(510) 796-0222(510) 796-7760 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lay-hwa Lou Md NPPES

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

DR. LAY-HWA LOU MD (NPI 1477667285) is an individual internal medicine provider in Fremont, California, licensed in California (A53161) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477667285
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAY-HWA LOUCredential: MD
Location Address2333 MOWRY AVE, SUITE 300Fremont, CA 94538
Mailing Address2333 Mowry Ave, Suite 300Fremont, CA 94538 · (510) 796-0222 · Fax (510) 796-7760
Fax(510) 796-7760
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 15, 2010
NPI 1477667285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A53161
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2333 MOWRY AVE, Fremont, CA 94538

Other Identifiers 1

Medicare UPING24619CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lay-hwa Lou 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.

Areas of Expertise CMS Part B claims 18

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 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.
962 services432 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
107 services69 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
86 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
86 services57 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
86 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

56.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.62
Promoting Interoperability0
Improvement Activities0
Cost100

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%117 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
89%80 patients4/55-star benchmark: 100%
Breast Cancer Screening
0%397 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%281 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
1%705 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
67%362 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%195 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
80%195 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%2,268 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%708 patients1/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%51 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%1,163 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,096 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,482 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,065 patients
Patients screened: 99% · 1,065 patients
45%38 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%343 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 741 patients
Patients totalRate: 10% · 741 patients
8%741 patients4/55-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 8

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
26 suppliers163 claims427 services$5.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
20 suppliers88 claims113 services$0.92 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims360 services$4.41 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims4,465 services$0.30 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers13 claims13 services$35.88 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers38 claims38 services$15.67 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 17

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

Obstetrics & Gynecology (Gynecology)
2333 MOWRY AVE, SUITE 201
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE # 300
FREMONT, CA 94538
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, STE 300
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2333 MOWRY AVE, STE 300
FREMONT, CA 94538

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 Lay-hwa Lou's NPI number?

The NPI number for Lay-hwa Lou is 1477667285. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Lay-hwa Lou located?

Lay-hwa Lou practices at 2333 Mowry Ave Suite 300, Fremont, CA 94538. The listed phone number is (510) 796-0222.

What is Lay-hwa Lou's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lay-hwa Lou enrolled in Medicare?

Yes. Lay-hwa Lou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lay-hwa Lou was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.