2026 NPPES data Ophthalmology Physician NPI 1164659751 M.D.
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KEVIN LAI, M.D.

Ophthalmology Physician in CARMEL, Indiana. 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
121
Medicare Part D claims · 29 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
73.1977/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$213.38
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KEVIN LAI, M.D. is a Ophthalmology Physician ([object Object]) practicing in CARMEL, Indiana with a Medicare Part D prescribing footprint of 121 claims across 29 beneficiaries . Their CMS MIPS Final Score of 73.1977/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $213.38 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KEVIN LAI, M.D. reported a CMS MIPS final score of 73.1977 out of 100, below the 83.1 national average, and filed 121 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KEVIN LAI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KEVIN LAI, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/22/2009

NPI 1164659751

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

121 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

73.1977/100 9.902299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Indiana

How Ophthalmology Physician compares to other specialties among Indiana providers

Indiana providers

Ophthalmology Physician share within Indiana

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Indiana

Medicare quality performance — MIPS

KEVIN LAI, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
73.1977/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 73.1977/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Ophthalmology Physician) — 73.1977/100 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).

KEVIN LAI, M.D. is a Ophthalmology Physician provider practicing in CARMEL, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164659751. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KEVIN LAI, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 10300 N ILLINOIS ST STE 1000, CARMEL, IN, 46290, with a listed phone of (317) 805-2240. NPI 1164659751 was issued on 06/22/2009. 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 121 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $5K in drug spend. 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 73.1977/100 for the 2023 performance year (Quality 58.7401, Cost 51.919), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

10300 N ILLINOIS ST STE 1000
CARMEL, IN 46290

Provider Details

NPI 1164659751
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 06/22/2009

CMS Quality Score (MIPS)

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

73.1977
Final Score
Avg: 83.1
58.7401
Quality
51.919
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KEVIN LAI, M.D. 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.

CEI PHYSICIANS PSC, LLC
MIDDLETOWN, OH
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
LOUISVILLE, KY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KEVIN LAI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$213

Largest payer

Amgen Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

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

121
Total Claims
$5K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
210
Total Day Supply
6,103
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.17
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.

Drug Claims
Prednisone
36
Clonazepam
28
Baclofen
19
Pyridostigmine Bromide
12

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

Ophthalmology Physician Overview

How KEVIN LAI, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

KEVIN LAI, M.D.'s 121 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Indiana

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN LAI, M.D.'s specialty?
KEVIN LAI, M.D. specializes in Ophthalmology Physician and practices in CARMEL, Indiana. Credentials: M.D..
How much does KEVIN LAI, M.D. prescribe under Medicare Part D?
In 2023, KEVIN LAI, M.D. wrote 121 Medicare Part D claims totaling $5K in drug costs for 29 beneficiaries.
What is KEVIN LAI, M.D.'s Medicare quality score?
KEVIN LAI, M.D. has a CMS MIPS Final Score of 73.1977/100 (Quality: 58.7401, Cost: 51.919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN LAI, M.D. located?
KEVIN LAI, M.D. is located at 10300 N ILLINOIS ST STE 1000, CARMEL, IN, 46290. Phone: (317) 805-2240.
What is KEVIN LAI, M.D.'s NPI number?
KEVIN LAI, M.D.'s National Provider Identifier (NPI) is 1164659751, issued on 06/22/2009.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does KEVIN LAI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KEVIN LAI, M.D.'s most frequently prescribed drugs include Prednisone, Clonazepam, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN LAI, M.D. accept Medicare?
KEVIN LAI, M.D. appears in CMS Medicare data with 121 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN LAI, M.D.'s credentials?
KEVIN LAI, M.D.'s NPI is 1164659751 with credentials M.D.. 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