NPPES file of Aug 9, 2026

Carol S. Lai, M.D.

Student in an Organized Health Care Education/Training Program · Houston, TX

Carol S. Lai, M.D. is a student in an organized health care education/training program with a practice address in Houston, Texas, and NPI 1366889826, issued on May 23, 2013. Check the license (Texas BP10055274, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366889826
Name
Carol S. Lai
Credential
M.D.
Primary taxonomy
Student in an Organized Health Care Education/Training Program 390200000X
License number
BP10055274 TX
Self-reported in NPPES; status is on the state search
Practice location
6720 Bertner Ave # MC1-133, Houston, TX 77030
Phone
(832) 355-6676
Enumerated
May 23, 2013
Record last updated
Aug 5, 2016 (not updated in 10 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20200928001932); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Carol S. Lai in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license BP10055274
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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26.9 times the Medicare Part D claims of the average student in an organized health care education/training program in 2024

4,985 Medicare Part D claims for 628 beneficiaries, against an average of 185 among the 59,748 providers of this specialty who prescribed in Part D. Brand-name drugs were 31% of claims.

  1. Carol Lai4,985
  2. Specialty average185

Most prescribed

  1. Metoprolol Succinate480 claims
  2. Jardiance387 claims
  3. Entresto386 claims
  4. Carvedilol363 claims
  5. Spironolactone324 claims
  6. Eliquis309 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 86.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.3
  2. Costout of 100 · 30%73.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $601.07

17 payments; by number, the most common kind was food and beverage; the largest payer was CVRx, Inc. The 13,278 providers of this specialty with any payment received $608.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carol Lai$601.07
  2. Specialty average$608.08

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Straub Clinic And HospitalHonolulu, HI · Acute Care Hospitals4 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Carol S. Lai among 17,605 student in an organized health care education/training program records in Texas

Carol S. Lai, M.D. is one of 17,605 student in an organized health care education/training program records with a practice address in Texas. 23% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 2% of them.

  • NPI issued2013 · 2% of these records are older, 97% newer
  • In a Medicare fileYes · 23% of these records are
  • In the CMS Doctors and Clinicians fileYes · 2% of these records are
  • Graduated2013 · median 2019 among the 295 with a school on file
  • Record last updated2016 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3,913 student in an organized health care education/training program records list a practice address in Houston

They are 3,913 of the 61,221 NPPES records with a practice address in Houston, and 17,605 student in an organized health care education/training program records in Texas.

The 8 student in an organized health care education/training program records with the nearest ZIP codes

  1. Grazia ArpinoHouston, TX 770301518118967
  2. Bridget Bennett, MDHouston, TX 770301073717559
  3. Michael Condron, MDHouston, TX 770301013162569
  4. John Fermo, MDHouston, TX 770301447464722
  5. Jose Gonzalez Berjon, M.D.Houston, TX 770301215182761
  6. Seiichi Kitahama, M.D.Houston, TX 770301295069086
  7. Khurram Mazhar, M.D.Houston, TX 770301184861841
  8. Masanori Mori, M.D.Houston, TX 770301366615262

Common questions

What is Carol S. Lai, M.D.'s NPI number?

Carol S. Lai, M.D.'s National Provider Identifier (NPI) is 1366889826, issued on May 23, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Carol S. Lai, M.D. located?

The NPPES record lists a practice address at 6720 Bertner Ave # MC1-133, Houston, TX, 77030. Phone: (832) 355-6676. Providers update this record themselves, so call before visiting.

How can I verify Carol S. Lai, M.D.'s license?

NPPES lists Texas license number BP10055274, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Carol S. Lai, M.D. prescribe under Medicare Part D?

In 2024, Carol S. Lai, M.D. had 4,985 Medicare Part D claims for 628 beneficiaries; the average among student in an organized health care education/training program prescribers was 185. Part D covers Medicare prescriptions only.

What is Carol S. Lai, M.D.'s MIPS final score?

The 2023 MIPS final score is 86.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.