DR. MARCI E LAIT MD
NPI 1649258617
Otolaryngology in Nags Head, NC

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
4917 S CROATAN HWY STE 1C, NAGS HEAD, NC 27959(252) 489-4682(252) 715-2007 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2019, May 20, 2019 (2 updates tracked since 2019).

About Dr. Marci E Lait Md NPPES

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

DR. MARCI E LAIT MD (NPI 1649258617) is an individual otolaryngology provider in Nags Head, North Carolina, licensed in North Carolina (2007-01728) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1649258617
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARCI E LAITCredential: MD
Location Address4917 S CROATAN HWY STE 1CNags Head, NC 27959-8996
Mailing Address4917 S Croatan Hwy Ste 1cNags Head, NC 27959-8996 · (252) 489-4682 · Fax (252) 715-2007
Fax(252) 715-2007
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJune 10, 20192 updates tracked since enumeration
NPI 1649258617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in NC · 2007-01728 Licensed in MA · 209643
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4917 S CROATAN HWY STE 1C, Nags Head, NC 27959

Other Identifiers 18

Other1919737First Health
OtherJ23431Blue Shield Indemnity
Other04 2472266Private Healthcare System
Other04 2472266Three Rivers
Other7956314Aetna Us Healthcare
OtherJ23431Blue Shield Hmo Blue
Other1496762Cigna Health Plan
OtherA32301Medicare B
OtherAA3713Harvard Pilgrim Healthcar
Other0139611Healthy Start
Other60884Fallon Community Health P
Other784045Mvp Health Care
OtherJ23431Blue Care Elect
Medicaid0139611MA
Other040016008Railroad Medicare
Other042472266One Health Plan
Other10 00121Evercare
Other042472266Healthcare Value Manageme

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

Dr. Marci E Lait 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 ID1658450424
PECOS Enrollment IDI20080505000644
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 25

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
849 services35 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
335 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
238 services172 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
214 services214 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
199 services160 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
177 services163 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.59
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%33 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
66%32 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
66%92 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
57%23 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%2,794 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%625 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 78% · 843 patients
Patients screened: 83% · 843 patients
58%110 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%22 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 642 patients
Patients totalRate: 0% · 643 patients
0%643 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$38.58 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 3

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

Otolaryngology
4917 S CROATAN HWY STE 1C
NAGS HEAD, NC 27959
Physical Therapist
4917 S CROATAN HWY STE 1C
NAGS HEAD, NC 27959
Physical Therapist
4917 S CROATAN HWY STE 1C
NAGS HEAD, NC 27959

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 Marci Lait's NPI number?

The NPI number for Marci Lait is 1649258617. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Marci Lait located?

Marci Lait practices at 4917 S Croatan Hwy Ste 1C, Nags Head, NC 27959. The listed phone number is (252) 489-4682.

What is Marci Lait's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Marci Lait enrolled in Medicare?

Yes. Marci Lait 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 Marci Lait accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Marci Lait 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 Marci Lait affiliated with any hospitals?

According to CMS data, Marci Lait is affiliated with Sentara Albemarle Medical Center and The Outer Banks Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Marci Lait was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.