KENNETH ANTHONY LAI DPM
NPI 1801449954
Podiatrist in Newtown, PA

Q: What is Kenneth Lai's NPI number?

The NPI number for Kenneth Lai is 1801449954. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Kenneth Lai's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Lai was last updated on April 26, 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 July 18, 2019PECOS EnrolledAccepts Medicare Assignment

770 NEWTOWN YARDLEY RD STE 215, NEWTOWN, PA 18940(215) 968-8700(215) 968-8523 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Jul 18, 2019 (2 updates tracked since 2019).

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About Kenneth Anthony Lai Dpm NPPES

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

KENNETH ANTHONY LAI DPM (NPI 1801449954) is an individual podiatrist in Newtown, Pennsylvania, licensed in Pennsylvania (SC007014) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Temple University School Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1801449954

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameKENNETH ANTHONY LAICredential: DPM

Location Address770 NEWTOWN YARDLEY RD STE 215Newtown, PA 18940-4501

Mailing Address770 Newtown Yardley Rd Ste 215Newtown, PA 18940-4501 · (215) 968-8700 · Fax (215) 968-8523

Phone(215) 968-8700

Fax(215) 968-8523

Sole ProprietorNo

Medical School CMSTemple University School Of Podiatric MedicineGraduated 2019

Enumeration DateJuly 18, 2019

Last NPPES UpdateApril 26, 20242 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1801449954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC007014

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License SC007014 (PA)

770 NEWTOWN YARDLEY RD STE 215, Newtown, PA 18940

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.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

Kenneth Anthony Lai Dpm 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 ID7315275146

PECOS Enrollment IDI20240305001731

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 11

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.

194 services124 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

122 services57 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.

104 services104 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

101 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

91 services30 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

82 services14 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 2

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

DR. MARGARET TERESA KERINS DPM

Podiatrist (Foot & Ankle Surgery)

770 NEWTOWN YARDLEY RD STE 215
NEWTOWN, PA 18940

Bucks County (215) 968-8700

MICHAEL J LYNDE DPM

Podiatrist (Foot & Ankle Surgery)

770 NEWTOWN YARDLEY RD STE 215
NEWTOWN, PA 18940

Bucks County (215) 968-8700

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 Kenneth Lai's NPI number?

The NPI number for Kenneth Lai is 1801449954. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Kenneth Lai located?

Kenneth Lai practices at 770 Newtown Yardley Rd Ste 215, Newtown, PA 18940. The listed phone number is (215) 968-8700.

What is Kenneth Lai's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kenneth Lai enrolled in Medicare?

Yes. Kenneth 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 Kenneth Lai accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Kenneth 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 Kenneth Lai affiliated with any hospitals?

According to CMS data, Kenneth Lai is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Lai was last updated on April 26, 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.