Miguel A. Lalama, MD
Gastroenterology Physician · Owensboro, KY
Miguel A. Lalama, MD is a gastroenterology physician with a practice address in Owensboro, Kentucky, and NPI 1669793683, issued on Jun 14, 2010. Check the license (Kentucky 51452, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Miguel A. Lalama
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 51452 KY
Self-reported in NPPES; status is on the state search - Practice location
- 3112 Fairview Dr, Owensboro, KY 42303
- Phone
- (270) 922-2500
- Enumerated
- Jun 14, 2010
- Record last updated
- Oct 6, 2022
- Fax
- (270) 922-2505
- Medicaid ID
- 7100546600 KY
- Medicare enrollment
- Enrolled (PECOS I20180829003646); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 226 in Kentucky → Look up another NPI →
Also registered at 3112 Fairview Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alicia WilliamsFamily Nurse Practitioner1629733290
Verify Miguel A. Lalama in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 51452Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
21% more Medicare Part D claims than the average gastroenterology physician in 2024
983 Medicare Part D claims for 458 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims.
Most prescribed
- Gavilyte-G191 claims
- Pantoprazole Sodium149 claims
- Peg-3350 And Electrolytes124 claims
- Omeprazole71 claims
- Famotidine57 claims
- Linzess50 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,908.73
24 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 13,350 providers of this specialty with any payment received $5,015.95 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 2 group practices
- Landmark Digestive Health PscOwensboro, KY
- Ohio County Hospital CorporationOwensboro, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Miguel A. Lalama among 226 gastroenterology physician records in Kentucky
Miguel A. Lalama, MD is one of 226 gastroenterology physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 71% of them.
- NPI issued2010 · 71% of these records are older, 27% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2010 · median 2000 among the 181 with a school on file
- Record last updated2022 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Kentucky
There are 226 gastroenterology physician records in Kentucky.
All 226 in Kentucky → Every provider in Owensboro → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Kenneth Camacho, M.D.Owensboro, KY 423031750323424
- Brett Davis, M.D.Owensboro, KY 423031396774782
- Francis Dufrayne, MDOwensboro, KY 423031144314014
- John Hast, M.D.Owensboro, KY 423031992734453
- Robert Kirk, M.D.Owensboro, KY 423031780687905
- Charles Riccio, MDHartford, KY 423471548262918
- Christopher Cowan, MDFort Campbell, KY 422231902957715
- Eric Marple, D.O.Fort Campbell, KY 422231366855942
Common questions
What is Miguel A. Lalama, MD's NPI number?
Miguel A. Lalama, MD's National Provider Identifier (NPI) is 1669793683, issued on Jun 14, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Miguel A. Lalama, MD located?
The NPPES record lists a practice address at 3112 Fairview Dr, Owensboro, KY, 42303. Phone: (270) 922-2500. Providers update this record themselves, so call before visiting.
How can I verify Miguel A. Lalama, MD's license?
NPPES lists Kentucky license number 51452, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Miguel A. Lalama, MD prescribe under Medicare Part D?
In 2024, Miguel A. Lalama, MD had 983 Medicare Part D claims for 458 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Miguel A. Lalama, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.