ROBERT S H LAI M.D.
NPI 1730193459
Urology in Algonquin, IL

Q: What is Robert Lai's NPI number?

The NPI number for Robert Lai is 1730193459. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Robert Lai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Lai was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

1465 COMMERCE DR, ALGONQUIN, IL 60102(847) 802-7090(847) 802-7095 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Mar 13, 2020 (2 updates tracked since 2020).

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About Robert S H Lai M.d. NPPES

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

ROBERT S H LAI M.D. (NPI 1730193459) is an individual urology provider in Algonquin, Illinois, licensed in Illinois (036 116997) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Mchenry.

NPPES Registry Identity

NPI1730193459

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameROBERT S H LAICredential: M.D.

Location Address1465 COMMERCE DRAlgonquin, IL 60102-5916

Mailing Address1465 Commerce DrAlgonquin, IL 60102-5916 · (847) 802-7090 · Fax (847) 802-7095

Phone(847) 802-7090

Fax(847) 802-7095

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 28, 2006

Last NPPES UpdateMay 16, 20222 updates tracked since enumeration

NPPES CertifiedMay 16, 2022

✔ NPI 1730193459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 036 116997

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1465 COMMERCE DR, Algonquin, IL 60102

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Secondary Practice Location 1

Location 12507 N Richmond Rd Ste AMcHenry, IL 60051-5407 · Phone (847) 802-7090 · Fax (815) 759-4439

Other Identifiers 2

OtherP00373589IL · Medicare Railroad

Medicaid036116997IL

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

Robert S H Lai 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 ID7911906110

PECOS Enrollment IDI20061218000191

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.

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.

237 services186 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

204 services141 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

204 services141 patients

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.

170 services149 patients

Insertion of implant in urethra within prostate gland using an endoscope, each additional implant 52442

This procedure involves placing additional tiny implants in the prostate gland using a special viewing device. It's a common method to address certain health concerns. The process is done carefully to ensure minimal discomfort.

160 services34 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

159 services147 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

156 services39 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

109 services51 patients

Injection, garamycin, gentamicin, up to 80 mg J1580

This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.

100 services36 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

85 services32 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

84 services83 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

63 services12 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

53 services44 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

50 services50 patients

Insertion of implant in urethra within prostate gland using an endoscope, 1 implant 52441

This procedure involves placing a small device in the urinary tract using a scope. The device is placed within the prostate gland, which helps manage urinary flow. It's a minimally invasive procedure that aids in improving your comfort and health.

38 services38 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

33 services28 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

32 services28 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

31 services31 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

27 services26 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

24 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

16 services16 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

16 services16 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

12 services11 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140013

Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County

Emergency services

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140120

Location600 South 13th StreetPekin, IL 61554 · Tazewell County

Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141309

Location101 S Major StEureka, IL 61530 · Woodford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60102 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

2%408 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

93%1,556 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

85%1,013 patients2/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

47%618 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

96%582 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

87%750 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 91% · 499 patients

Patients tobacco: 5% · 40 patients

73%303 patients3/55-star benchmark: 98%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user

59%303 patients3/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

94%750 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

14%750 patients1/55-star benchmark: 89%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

51%140 patients3/55-star benchmark: 100%

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months

100%73 patients

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

28%750 patients

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 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

7 suppliers18 claims2,670 services$1.73 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers14 claims2,640 services$5.28 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 4

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

HENRY COLLIER WRIGHT IV

Urology

1465 COMMERCE DR
ALGONQUIN, IL 60102

McHenry County (847) 802-7090

WAJIHA IMRAN MASOOD PA-C

Physician Assistant

1465 COMMERCE DR
ALGONQUIN, IL 60102

McHenry County (847) 802-7090

JULIE STATON PA-C

Physician Assistant

1465 COMMERCE DR
ALGONQUIN, IL 60102

McHenry County (847) 854-3522

MRS. STEPHANIE BRYAN APRN, CNP

Nurse Practitioner

1465 COMMERCE DR
ALGONQUIN, IL 60102

McHenry County (847) 854-3522

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 Robert Lai's NPI number?

The NPI number for Robert Lai is 1730193459. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Robert Lai located?

Robert Lai practices at 1465 Commerce Dr, Algonquin, IL 60102. The listed phone number is (847) 802-7090.

What is Robert Lai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Lai enrolled in Medicare?

Yes. Robert 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.

Is Robert Lai affiliated with any hospitals?

According to CMS data, Robert Lai is affiliated with Proctor Hospital, Carle Foundation Hospital, Pekin Memorial Hospital, Methodist Medical Center Of Illinois and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for Robert Lai was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.