Lily Lai, MD
Surgery Physician · Duarte, CA
Lily Lai, MD is a surgery physician with a practice address in Duarte, California, and NPI 1114029188, issued on Sep 1, 2006. Check the license (California G80261, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Lily Lai
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- G80261 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1500 E Duarte RD, Duarte, CA 91010
- Phone
- (626) 359-8111
- Enumerated
- Sep 1, 2006
- Record last updated
- Nov 11, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 00G802610 CA
- Medicare enrollment
- Enrolled (PECOS I20040106000633); accepts Medicare assignment
- Medical or professional school
- University Of California, San Diego School Of Medicine, 1993
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 3,118 in California → Look up another NPI →
Also registered at 1500 E Duarte RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Baecker, MSN, ANPGerontology Nurse Practitioner1548689649
- Sharon Baik, PHDClinical Psychologist1316654577
- Sarkis Baltayian, MDAnesthesiology Physician1932165776
- Elizabeth Bernardi, PA CPhysician Assistant1699980896
Verify Lily Lai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G80261Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
78% fewer Medicare Part D claims than the average surgery physician in 2024
33 Medicare Part D claims for 25 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
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): 99.1 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $169.80
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- City OF Hope Medical FoundationDuarte, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lily Lai among 3,118 surgery physician records in California
Lily Lai, MD is one of 3,118 surgery physician records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 55% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1993 · median 2003 among the 1,901 with a school on file
- Record last updated2020 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 surgery physician records list a practice address in Duarte
They are 19 of the 1,287 NPPES records with a practice address in Duarte, and 3,118 surgery physician records in California.
All 3,118 in California → Every provider in Duarte → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Andrew Blakely, M.D.Duarte, CA 910101386962603
- Louisa Chiu, MDDuarte, CA 910101043481278
- Lorena Gonzalez, M.D.Duarte, CA 910101144452186
- Eduardo Guzman, MDDuarte, CA 910101972700326
- Natalie Johnson, MDDuarte, CA 910101710361092
- Veronica Jones, M.D.Duarte, CA 910101558534370
- Sharan Manhas, M.D., M.SC., FRCSCDuarte, CA 910101689655797
- Laleh Melstrom, MDDuarte, CA 910101811153893
Common questions
What is Lily Lai, MD's NPI number?
Lily Lai, MD's National Provider Identifier (NPI) is 1114029188, issued on Sep 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Lily Lai, MD located?
The NPPES record lists a practice address at 1500 E Duarte RD, Duarte, CA, 91010. Phone: (626) 359-8111. Providers update this record themselves, so call before visiting.
How can I verify Lily Lai, MD's license?
NPPES lists California license number G80261, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Lily Lai, MD prescribe under Medicare Part D?
In 2024, Lily Lai, MD had 33 Medicare Part D claims for 25 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Lily Lai, MD's MIPS final score?
The 2023 MIPS final score is 99.1 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.