Tony Lai, M.D.
NPI 1902126873 · Family Medicine Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tony Lai, M.D. is a Family Medicine Physician provider in Sacramento, CA (NPI 1902126873).
Provider details
- NPI number
- 1902126873
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
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
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
474 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 305 | $134 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 66 | $17 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $137 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 26 | $189 |
| Administration of Influenza Virus VaccineG0008 | 20 | $34 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 173 | 48 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 112 | 21 |
| Amlodipine Besylate | 97 | 30 |
| Losartan Potassium | 91 | 27 |
| Levothyroxine Sodium | 87 | 21 |
| Omeprazole | 81 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$274 across 2 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
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2016-07-05
Frequently asked questions
- What is Tony Lai's NPI number?
- Tony Lai's National Provider Identifier (NPI) is 1902126873, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tony Lai located?
- Tony Lai's practice location on file with NPPES is 1201 Alhambra Blvd Ste 330, Sacramento, CA 95816-5242.
- What is Tony Lai's phone number?
- The practice phone number listed in the NPPES registry for Tony Lai is (916) 731-7770.
- 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 (1902126873) is active in the NPPES registry as of the last update on 2016-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.