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

Q: 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.

Q: What is Michael Lam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Lam was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

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

On this page

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

Phone(281) 495-2222

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

Open in Google Maps ↗

Other Identifiers 2

Medicaid103721003TX

OtherK6076TX · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

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.

Medicare Billing Reassignments

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

Houston Retina Associates PA

Same address

Ophthalmology

7789 SOUTHWEST FREEWAY, 530
Houston, TX 77074

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1942347570 (281) 495-2222

Baylor College Of Medicine

7.6 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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 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

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.

294 services241 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.

255 services149 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

135 services134 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

123 services67 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.

118 services114 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

75 services37 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

70 services65 patients

Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye 92242

This procedure involves a special camera capturing images of the eye's blood vessels. A dye is injected into your body, which travels to the eye's vessels, highlighting them in the photos. This helps identify any abnormalities in the retina and surrounding areas.

19 services18 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

Quality

100

Improvement Activities

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.

LEE T TRAN MD

Ophthalmology (Retina Specialist)

7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074

Harris County (281) 495-2222

JOHN JOSE ALAPPATT M.D.

Ophthalmology (Retina Specialist)

7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074

Harris County (281) 495-2222

JIE GAO M.D.

Ophthalmology (Retina Specialist)

7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074

Harris County (281) 495-2222

HENRY LIN

Ophthalmology (Retina Specialist)

7789 SOUTHWEST FWY STE 530
HOUSTON, TX 77074

Harris County (281) 495-2222

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.

Which organizations bill Medicare for Michael Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lam reassigns Medicare benefits to 2 organizations: Houston Retina Associates PA (Houston, TX) and Baylor College Of Medicine (Houston, TX). 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 Michael Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.