Miguel Lalama, MD
NPI 1669793683 · Gastroenterology Physician · Owensboro, KY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miguel Lalama, MD is a Gastroenterology Physician provider in Owensboro, KY (NPI 1669793683).
Provider details
- NPI number
- 1669793683
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 51452 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 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
1,013 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 215 | $45 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 117 | $213 |
| Balloon Dilation of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope, Less Than 3.0 Cm43249 | 107 | $102 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 94 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 93 | $84 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 191 | 185 |
| Pantoprazole Sodium | 149 | 46 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 124 | 120 |
| Omeprazole | 71 | 22 |
| Famotidine | 57 | 19 |
| Linaclotidebrand: Linzess | 50 | 13 |
| Ursodiol | 30 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,909 across 24 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)
- 1301 Pleasant Valley Rd Ste 401Owensboro, KY 42303Phone: (270) 922-2500Fax: (270) 417-7809
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2022-10-06
- Certified
- 2022-10-03
Frequently asked questions
- What is Miguel Lalama's NPI number?
- Miguel Lalama's National Provider Identifier (NPI) is 1669793683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miguel Lalama's specialty?
- Miguel Lalama is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Miguel Lalama located?
- Miguel Lalama's practice location on file with NPPES is 3112 Fairview Dr, Owensboro, KY 42303.
- What is Miguel Lalama's phone number?
- The practice phone number listed in the NPPES registry for Miguel Lalama is (270) 922-2500.
- Does Miguel Lalama accept Medicare?
- Miguel Lalama is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miguel Lalama's NPI active?
- Yes — Miguel Lalama's NPI (1669793683) is active in the NPPES registry as of the last update on 2022-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.