Doctor profile · Federal record
Dr. Edwin Lai, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Bellevue, WA
- NPI 1891824777
- Accepts Medicare
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1135 116Th Ave Ne, Suite 560
Bellevue, WA 980044623
(425) 454-4768
fax (425) 462-8021 - Mailing address
-
1135 116Th Ave Ne Ste 560
Bellevue, WA 980044631
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- June 21, 2019
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Washington #00047860
- Medicaid
- WA #8490229
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891824777. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
781
Distinct HCPCS
10
Medicare allowed
$73,479
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 256 | 27 | $52 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 163 | 29 | $68 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 80 | 80 | $262 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 62 | 60 | $90 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 58 | 58 | $96 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | 44 | $111 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $112 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 24 | 23 | $133 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $138 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 16 | $52 |
In context: peer comparison
Among 8 peers in Bellevue Gastroenterology Physician, average services per provider: 59. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$2,543
Transactions
76
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 24 | $952.59 | |
| Takeda Pharmaceuticals U.S.A., INC. | 13 | $338.90 | |
| Pfizer INC. | 7 | $208.06 | |
| Janssen Biotech, INC. | 7 | $152.73 | |
| Regeneron Healthcare Solutions, INC. | 5 | $149.56 | |
| Genzyme Corporation | 2 | $147.50 | |
| Boston Scientific Corporation | 1 | $146.68 | |
| Aimmune Therapeutics, INC. | 4 | $97.74 | |
| Celgene Corporation | 4 | $70.08 | |
| Gilead Sciences, INC. | 2 | $69.86 | |
| Lilly USA, LLC | 2 | $49.07 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 2 | $40.86 | |
| Merck Sharp & Dohme LLC | 1 | $32.63 | |
| Madrigal Pharmaceuticals | 1 | $28.66 | |
| Qol Medical, LLC | 1 | $27.04 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
377
Patients
168
Total drug cost
$55,638
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 121 | 43 | $1,545 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 60 | 59 | $1,039 |
| Pantoprazole Sodium | Generic | 41 | 0 | $716 |
| Mesalamine | Generic | 37 | 0 | $28,980 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 21 | 21 | $427 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 19 | 19 | $463 |
| Esomeprazole Magnesium | Generic | 16 | 0 | $1,169 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 15 | 15 | $1,103 |
| Vemlidy (Tenofovir Alafenamide) | Brand | 13 | 0 | $19,503 |
| Lansoprazole | Generic | 12 | 0 | $341 |
Hospital affiliations
Frequently asked questions
What is Dr. Edwin Lai's medical specialty?
Dr. Edwin Lai practices Gastroenterology Physician in Bellevue, WA.
Where does Dr. Edwin Lai practice?
Dr. Edwin Lai practices at 1135 116Th Ave Ne, Bellevue, WA 980044623. Office phone: 4254544768.
What is Dr. Edwin Lai's NPI?
Dr. Edwin Lai's National Provider Identifier (NPI) is 1891824777, issued by NPPES.
Does Dr. Edwin Lai accept Medicare assignment?
Yes. Dr. Edwin Lai accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Edwin Lai commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS 99439); Chronic care management services (HCPCS 99490); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385). Source: CMS Medicare Physician & Other Practitioners file.