MICHAEL KAI-JIA LAM M.D.
NPI 1548200835
Ophthalmology - Retina Specialist in Houston, TX

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7789 SOUTHWEST FWY STE 530, HOUSTON, TX 77074(281) 495-2222(281) 495-2146 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2023, Apr 25, 2017 (2 updates tracked since 2017).

About Michael Kai-jia Lam M.d. NPPES

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

MICHAEL KAI-JIA LAM M.D. (NPI 1548200835) is an individual retina specialist in Houston, Texas, licensed in Texas (K6076) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).

NPPES Registry Identity

NPI1548200835
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameMICHAEL KAI-JIA LAMCredential: M.D.
Location Address7789 SOUTHWEST FWY STE 530Houston, TX 77074-1834
Mailing Address7789 Southwest Fwy Ste 530Houston, TX 77074-1834 · (281) 495-2222 · Fax (281) 495-2146
Fax(281) 495-2146
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1994
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1548200835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in TX · K6076
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License K6076 (TX)
7789 SOUTHWEST FWY STE 530, Houston, TX 77074

Other Identifiers 2

Medicaid103721003TX
OtherK6076TX · License Number

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

Michael Kai-jia Lam 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 ID8022004209
PECOS Enrollment IDI20040422001192
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 14

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
39,960 services119 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.
1,546 services542 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.
1,215 services489 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,008 services225 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
742 services371 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
440 services63 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Ophthalmology (Retina Specialist)
7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074
Ophthalmology (Retina Specialist)
7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074
Ophthalmology (Retina Specialist)
7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074
Ophthalmology (Retina Specialist)
7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074

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 Michael Lam's NPI number?

The NPI number for Michael Lam is 1548200835. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Michael Lam located?

Michael Lam practices at 7789 Southwest Fwy Ste 530, Houston, TX 77074. The listed phone number is (281) 495-2222.

What is Michael Lam's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Michael Lam enrolled in Medicare?

Yes. Michael Lam 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 Michael Lam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Michael Lam 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 Michael Lam affiliated with any hospitals?

According to CMS data, Michael Lam is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lam was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.