LAI THAO PA-C
NPI 1922059120
Physician Assistant in Edgerton, WI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5024 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2021, May 25, 2021, Nov 10, 2020 (3 updates tracked since 2020).

About Lai Thao Pa-c NPPES

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

LAI THAO PA-C (NPI 1922059120) is an individual physician assistant in Edgerton, Wisconsin, licensed in Wisconsin (1923-23) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1922059120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAI THAOCredential: PA-C
Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002
Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5024
Fax(608) 884-5024
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 28, 20213 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1922059120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 1923-23 Licensed in MN · 11615
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11051 N SHERMAN RD, Edgerton, WI 53534

Other Identifiers 1

Medicaid1922059120WI

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

Lai Thao Pa-c 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 ID9234132556
PECOS Enrollment IDI20060807000047
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 2

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.
77 services76 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53534 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 12

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

Durable Medical Equipment & Medical Supplies
11051 N SHERMAN RD
EDGERTON, WI 53534
Family Medicine
11051 N SHERMAN RD
EDGERTON, WI 53534
Physician Assistant
11051 N SHERMAN RD
EDGERTON, WI 53534
Surgery
11051 N SHERMAN RD
EDGERTON, WI 53534
Physician Assistant
11051 N SHERMAN RD
EDGERTON, WI 53534
Nurse Practitioner (Family)
11051 N SHERMAN RD
EDGERTON, WI 53534
Nurse Practitioner
11051 N SHERMAN RD
EDGERTON, WI 53534
Preventive Medicine (Occupational Medicine)
11051 N SHERMAN RD
EDGERTON, WI 53534

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 Lai Thao's NPI number?

The NPI number for Lai Thao is 1922059120. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Lai Thao located?

Lai Thao practices at 11051 N Sherman Rd, Edgerton, WI 53534. The listed phone number is (608) 884-3354.

What is Lai Thao's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lai Thao enrolled in Medicare?

Yes. Lai Thao 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 Lai Thao accept?

Health plans from Anthem Blue Cross and Blue Shield list Lai Thao 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 Lai Thao was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.