MICHAEL LAI
NPI 1720450869
Nurse Practitioner - Family in Edmonds, WA

Active since October 28, 2015PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026(425) 775-9474(425) 670-3554 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Lai NPPES

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

MICHAEL LAI (NPI 1720450869) is an individual family provider in Edmonds, Washington, licensed in Washington (AP60609665) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720450869
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL LAI
Location Address7315 212TH ST SW, SUITE 101Edmonds, WA 98026-7610
Mailing Address7315 212th St Sw, Suite 101Edmonds, WA 98026-7610
Fax(425) 670-3554
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 28, 2015
NPI 1720450869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP60609665
7315 212TH ST SW, Edmonds, WA 98026

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 Lai 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 ID2264733054
PECOS Enrollment IDI20160712002372
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 3

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.
402 services186 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services55 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
35 services18 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
7315 212TH ST SW, SUITE 100
EDMONDS, WA 98026
Obstetrics & Gynecology (Gynecology)
7315 212TH ST SW, #204
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Obstetrics & Gynecology
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Physical Therapist
7315 212TH ST SW, SUITE 104
EDMONDS, WA 98026
Specialist
7315 212TH ST SW, SUITE 208
EDMONDS, WA 98026
Physician Assistant
7315 212TH ST SW
EDMONDS, WA 98026
Physician Assistant (Surgical)
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026

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 Lai's NPI number?

The NPI number for Michael Lai is 1720450869. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Michael Lai located?

Michael Lai practices at 7315 212th St SW Suite 101, Edmonds, WA 98026. The listed phone number is (425) 775-9474.

What is Michael Lai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Lai enrolled in Medicare?

Yes. Michael Lai 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 Lai accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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.

Is Michael Lai affiliated with any hospitals?

According to CMS data, Michael Lai is affiliated with University Of Washington Medical Ctr, Jefferson Healthcare and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Lai was last updated on October 28, 2015. 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.