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AMY LAI MD
NPI 1679565501
Otolaryngology in Bluffton, IN

Active since August 17, 2005PECOS Enrolled
84.02/100
CMS Quality Rating
1169 N MAIN ST, SUITE 5, BLUFFTON, IN 46714(260) 827-4368(260) 827-4370 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Lai Md NPPES

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

AMY LAI MD (NPI 1679565501) is an individual otolaryngology provider in Bluffton, Indiana, licensed in Indiana (01055046A) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679565501
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameAMY LAICredential: MD
Location Address1169 N MAIN ST, SUITE 5Bluffton, IN 46714-1360
Mailing Address10021 Dupont Circle CtFort Wayne, IN 46825-1604 · (260) 426-8117 · Fax (260) 420-0817
Phone(260) 827-4368
Fax(260) 827-4370
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 20, 2016
✔ NPI 1679565501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01055046A
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.
1169 N MAIN ST, Bluffton, IN 46714
Open in Google Maps ↗

Other Identifiers 6

Medicare UPING92909IN
Medicare PINP00025853IN
Medicaid200376870IN
Medicaid2407809OH
Medicare PIN047930OIN
Medicare PININ1333040IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Lai 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 9

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
390 services24 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
233 services50 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.
122 services112 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
85 services21 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
80 services70 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.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

84.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.94
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%22 patients
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
77%22 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
34%524 patients2/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
96%2,317 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,819 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 548 patients
Patients screened: 99% · 548 patients
4%121 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%895 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%160 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.

Other Providers at the Same Location NPPES 9

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

DARRYL L. COTY, D.C.
Chiropractor
1169 N MAIN ST, SUITE 6
BLUFFTON, IN 46714
Wells County (260) 824-9944
DR. MARICA C. SELL D.C.
Chiropractor
1169 N MAIN ST, SUITE 6
BLUFFTON, IN 46714
Wells County (260) 824-9944
MARICA C. SELL
Chiropractor
1169 N MAIN ST, SUITE 6
BLUFFTON, IN 46714
Wells County (260) 824-9944
DARRYL L COTY D.C.
Chiropractor
1169 N MAIN ST, SUITE 6
BLUFFTON, IN 46714
Wells County (260) 824-9944
ORTHOPAEDICS NORTHEAST, PC
Orthopaedic Surgery
1169 N MAIN ST, SUITE 7
BLUFFTON, IN 46714
Wells County (260) 846-0700
ORTHOPAEDICS NORTHEAST, PC
Durable Medical Equipment & Medical Supplies
1169 N MAIN ST, SUITE 7
BLUFFTON, IN 46714
Wells County (260) 846-1000
EAR, NOSE & THROAT ASSOCIATES, PC
Otolaryngology
1169 N MAIN ST, SUITE 5
BLUFFTON, IN 46714
Wells County (260) 827-4368
DR. MICHELLE TOTH D.C.
Chiropractor
1169 N MAIN ST, SUITE 6
BLUFFTON, IN 46714
Wells County (260) 824-9944

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 Amy Lai's NPI number?

The NPI number for Amy Lai is 1679565501. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Amy Lai located?

Amy Lai practices at 1169 N Main St Suite 5, Bluffton, IN 46714. The listed phone number is (260) 827-4368.

What is Amy Lai's specialty?

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

Is Amy Lai enrolled in Medicare?

Yes. Amy Lai is registered in the Medicare PECOS enrollment system.

What insurance does Amy Lai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Amy 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 Amy Lai was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.