Doctor profile · Federal record
Dr. Miguel Lalama, MD
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Owensboro, KY
- NPI 1669793683
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3112 Fairview Dr
Owensboro, KY 42303
(270) 922-2500
fax (270) 922-2505 - Additional location
-
1301 Pleasant Valley RD Ste 401
Owensboro, KY 42303
fax (270) 417-7809
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- October 6, 2022
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Kentucky #51452
- Medicaid
- KY #7100546600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669793683. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,224
Distinct HCPCS
10
Medicare allowed
$141,740
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 249 | 240 | $53 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 151 | 146 | $216 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 136 | 55 | $75 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 108 | 91 | $103 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 85 | 85 | $73 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 81 | 68 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 80 | 80 | $154 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 70 | 64 | $113 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 50 | 45 | $84 | |
43259 |
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | 27 | $170 |
In context: peer comparison
Among 2 peers in Owensboro Gastroenterology Physician, average services per provider: 53. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$1,909
Transactions
24
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 18 | $1,808.19 | |
| Abbvie INC. | 4 | $65.99 | |
| Madrigal Pharmaceuticals | 1 | $20.68 | |
| Albireo Pharma, INC. | 1 | $13.87 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
836
Patients
487
Total drug cost
$149,196
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 285 | 273 | $4,682 |
| Pantoprazole Sodium | Generic | 153 | 53 | $1,992 |
| Omeprazole | Generic | 100 | 24 | $1,021 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 84 | 81 | $1,383 |
| Famotidine | Generic | 52 | 17 | $856 |
| Linzess (Linaclotide) | Brand | 38 | 12 | $29,264 |
| Sucralfate | Generic | 20 | 0 | $604 |
| Metronidazole | Generic | 16 | 16 | $226 |
| Budesonide ER (Budesonide) | Brand | 15 | 0 | $16,448 |
| Ondansetron Hcl | Generic | 14 | 0 | $243 |
Hospital affiliations
Frequently asked questions
What is Dr. Miguel Lalama's medical specialty?
Dr. Miguel Lalama practices Gastroenterology Physician in Owensboro, KY.
Where does Dr. Miguel Lalama practice?
Dr. Miguel Lalama practices at 3112 Fairview Dr, Owensboro, KY 42303. Office phone: 2709222500.
What is Dr. Miguel Lalama's NPI?
Dr. Miguel Lalama's National Provider Identifier (NPI) is 1669793683, issued by NPPES.
Does Dr. Miguel Lalama accept Medicare assignment?
Yes. Dr. Miguel Lalama accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Miguel Lalama commonly perform?
Top Medicare-reported procedures in 2023: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.