2026 NPPES data Cardiovascular Disease Physician NPI 1770019416
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EVERETT LAI

Cardiovascular Disease Physician in SAN JOSE, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
117
Medicare Part D claims · 49 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.2245/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

EVERETT LAI reported a CMS MIPS final score of 97.2245/100 — above the 83.1 national average — and filed 117 Medicare Part D claims in 2023.

97.2245/100
MIPS score · +14 vs avg
117
Part D claims, 2023
69%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

EVERETT LAI's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

EVERETT LAI practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EVERETT LAI?

High performer (top quartile)

NPI registry status

Active

Issued 05/01/2017

NPI 1770019416

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

117 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

97.2245/100 14.124500000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Cardiovascular Disease Physician compares to other specialties among California providers

California providers

Cardiovascular Disease Physician share within California

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within California

Medicare quality performance — MIPS

EVERETT LAI's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
97.2245/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 97.2245/100 vs national avg 83.1

0%100%National avg83%97.2%
MIPS final score (Cardiovascular Disease Physician) — 97.2245/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

EVERETT LAI appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider at 270 INTERNATIONAL CIRCLE, SAN JOSE, CA, 95119, with a listed phone of (408) 972-6380. NPI 1770019416 was issued on 05/01/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 117 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $29K in drug spend, split 31% brand-name and 69% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.2245/100 for the 2023 performance year (Quality 88.3333, Cost 69.5333), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

270 INTERNATIONAL CIRCLE
SAN JOSE, CA 95119

Provider Details

NPI 1770019416
Specialty Cardiovascular Disease Physician
Gender Male
NPI Issued 05/01/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.2245
Final Score
Avg: 83.1
88.3333
Quality
69.5333
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EVERETT LAI bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PERMANENTE MEDICAL GROUP INC
SAN JOSE, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to EVERETT LAI. To verify EVERETT LAI's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

EVERETT LAI — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 117 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

117
Total Claims
$29K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
270
Total Day Supply
8,037
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$28K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
2.14
Gender Split
41% female / 59% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What EVERETT LAI prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
17
Atorvastatin Calcium
12
Clopidogrel
Clopidogrel Bisulfate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Cardiovascular Disease Physician Overview

How EVERETT LAI fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

EVERETT LAI's 117 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as LAI.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EVERETT LAI's specialty?
EVERETT LAI specializes in Cardiovascular Disease Physician and practices in SAN JOSE, California.
How much does EVERETT LAI prescribe under Medicare Part D?
In 2023, EVERETT LAI wrote 117 Medicare Part D claims totaling $29K in drug costs for 49 beneficiaries.
What is EVERETT LAI's Medicare quality score?
EVERETT LAI has a CMS MIPS Final Score of 97.2245/100 (Quality: 88.3333, Cost: 69.5333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EVERETT LAI located?
EVERETT LAI is located at 270 INTERNATIONAL CIRCLE, SAN JOSE, CA, 95119. Phone: (408) 972-6380.
What is EVERETT LAI's NPI number?
EVERETT LAI's National Provider Identifier (NPI) is 1770019416, issued on 05/01/2017.
Does EVERETT LAI prescribe more brand-name or generic drugs?
EVERETT LAI's prescribing is 31% brand-name and 69% generic drugs by claim count, with $28K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does EVERETT LAI prescribe most often?
Based on 2023 Medicare Part D data, EVERETT LAI's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EVERETT LAI accept Medicare?
EVERETT LAI appears in CMS Medicare data with 117 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EVERETT LAI's credentials?
EVERETT LAI's NPI is 1770019416. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology