Tony Lai
NPI 1316407737 · Physical Medicine & Rehabilitation Physician · Flower Mound, TX
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tony Lai is a Physical Medicine & Rehabilitation Physician provider in Flower Mound, TX (NPI 1316407737).
Provider details
- NPI number
- 1316407737
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- T0548 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
519 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 139 | $157 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 83 | $123 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 69 | $48 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 44 | $104 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 38 | $87 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 30 | 20 |
| Methylprednisolone | 29 | 26 |
| Methocarbamol | 26 | 22 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 | — |
| Naproxen | 16 | 14 |
| Tramadol Hcl | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$641 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1234 Fm 407Northlake, TX 76247-6224Phone: (972) 420-1776Fax: (214) 222-6660
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Tony Lai's NPI number?
- Tony Lai's National Provider Identifier (NPI) is 1316407737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tony Lai's specialty?
- Tony Lai is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Tony Lai located?
- Tony Lai's practice location on file with NPPES is 5000 Long Prairie Rd, Flower Mound, TX 75028-2796.
- What is Tony Lai's phone number?
- The practice phone number listed in the NPPES registry for Tony Lai is (972) 420-1776.
- Does Tony Lai accept Medicare?
- Tony Lai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tony Lai's NPI active?
- Yes — Tony Lai's NPI (1316407737) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.