NICHOLAS GEORGE LAILAS MD
NPI 1750376539
Urology in Reston, VA

Q: What is Nicholas Lailas's NPI number?

The NPI number for Nicholas Lailas is 1750376539. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Nicholas Lailas'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 Nicholas Lailas was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 16, 2005PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

1860 TOWN CENTER DRIVE, SUITE 150, RESTON, VA 20190(703) 480-0220(703) 480-0280 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nicholas George Lailas Md NPPES

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

NICHOLAS GEORGE LAILAS MD (NPI 1750376539) is an individual urology provider in Reston, Virginia, licensed in Virginia (0101054583) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1750376539

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameNICHOLAS GEORGE LAILASCredential: MD

Location Address1860 TOWN CENTER DRIVE, SUITE 150Reston, VA 20190-5905

Mailing Address224 D Cornwall Street Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643

Phone(703) 480-0220

Fax(703) 480-0280

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1990

Enumeration DateSeptember 16, 2005

Last NPPES UpdateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1750376539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in VA · 0101054583

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.

1860 TOWN CENTER DRIVE, SUITE 150, Reston, VA 20190

Open in Google Maps ↗

Other Identifiers 4

Other340017875VA · Rr Medicare Va

Other340017876DC · Rrmedicare

Medicaid1750376539VA

Medicaid30016055850001VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Nicholas George Lailas 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 ID345229365

PECOS Enrollment IDI20090805000717, I20090813000390

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 Nicholas Lailas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loudoun Medical Group, PC

Same address

Urogynecology and Reconstructive Pelvic Surgery

1860 TOWN CENTER DRIVE, SUITE 225
Reston, VA 20190

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Also billed through NPI 1366566788 (Virginia)
135 clinicians in this Medicare group

NPI 1407908817 (703) 293-5239

Gastrointestinal Specialists LLC

95 mi

Gastroenterology

2369 STAPLES MILL RD, SUITE 200
Richmond, VA 23230

Reassigned Medicare billing, District of Columbia and Virginia enrollments
36 clinicians in this Medicare group

NPI 1063516672 (804) 285-4465

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 24

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.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

839 services139 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.

417 services351 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

186 services134 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.

132 services117 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.

130 services99 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

60 services57 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.

56 services50 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

39 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services26 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.

24 services22 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

22 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 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.

20 services20 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.

20 services20 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.

20 services20 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.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services15 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

15 services13 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.

15 services15 patients

Removal of lymph nodes of both sides of pelvis using an endoscope 38571

This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.

13 services13 patients

Suture suspension of urethra to control leakage using an endoscope 51990

This procedure involves using a special scope to view the area where leakage occurs. Small stitches are then placed to lift and secure the tube that carries fluid from the body, helping to prevent leaks.

13 services13 patients

Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866

This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.

13 services13 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.

11 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA

OwnershipProprietary

CMS Certification Number490145

Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

92.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.22

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims3,020 services$0.10 avg. paid by Medicare

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

DME-Orthotic Devices · category DF008N

4 suppliers49 claims7,170 services$1.14 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

4 suppliers28 claims4,400 services$5.16 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers14 claims210 services$8.02 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

3 suppliers19 claims320 services$3.34 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.

LOUDOUN MEDICAL GROUP, PC

Urology

1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190

Fairfax County (703) 689-3311

MS. LISSET VANESSA JARQUIN PA

Physician Assistant

1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190

Fairfax County (703) 480-0220

LOUDOUN MEDICAL GROUP, PC

Urology

1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190

Fairfax County (703) 480-0230

MONA MISTRY PT

Physical Therapist

1860 TOWN CENTER DRIVE, SUITE 150
RESTON, VA 20190

Fairfax County (703) 480-0220

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 Nicholas Lailas's NPI number?

The NPI number for Nicholas Lailas is 1750376539. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Nicholas Lailas located?

Nicholas Lailas practices at 1860 Town Center Drive, Suite 150, Reston, VA 20190. The listed phone number is (703) 480-0220.

What is Nicholas Lailas's specialty?

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

Is Nicholas Lailas enrolled in Medicare?

Yes. Nicholas Lailas 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 Nicholas Lailas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lailas reassigns Medicare benefits to 2 organizations: Loudoun Medical Group, PC (Reston, VA) and Gastrointestinal Specialists LLC (Richmond, VA). 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 Nicholas Lailas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Lailas accept?

Health plans from Oscar Health list Nicholas Lailas 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 Nicholas Lailas affiliated with any hospitals?

According to CMS data, Nicholas Lailas is affiliated with Inova Loudoun Hospital, Virginia Hospital Center, Reston Hospital Center and Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for Nicholas Lailas was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.