Physician Profile
Sean C. Lai, M.D
Unclaimed ProfileAbout Dr. Lai
Listed in the NPI registry as a specialist, Sean C. Lai, M.D practices in Santa Monica, CA. Sean graduated from University of Washington School of Medicine in 1976. According to Medicare claims data, Sean cared for 1,140 Medicare patients across 2,607 services. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (310) 453-0553
- Email not available
Practice Locations
2001 SANTA MONICA BLVD SUITE 1286W
Santa Monica, CA 90404
Procedures Most Often Billed to Medicare
2,607 services · 1,140 patients · 14 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43239 |
138 | More often than most peers in Specialist |
| Biopsy of large bowel using a flexible endoscope | Procedure | 45380 |
65 | As often as other peers in Specialist |
| Insertion of stomach tube using a flexible endoscope | Procedure | 43246 |
57 | More than most peers in Specialist |
| Diagnostic exam of large bowel using a flexible endoscope | Procedure | 45378 |
38 | More often than most peers in Specialist |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43235 |
13 | Less often than most peers in Specialist |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
1,523 | More than most peers in Specialist |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
284 | More than most peers in Specialist |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
181 | As often as other peers in Specialist |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
154 | As often as other peers in Specialist |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
69 | As often as other peers in Specialist |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other specialists in Santa Monica 8
Same specialty, same city.
Trained at University of Washington School of Medicine 8
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 1976 at University of Washington School of Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 8
Providers in CA who bill this service to Medicare most often.
Common questions
What does Sean C. Lai specialize in?
Sean C. Lai is a specialist in Santa Monica, CA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Sean C. Lai located?
Sean C. Lai is listed at 2001 Santa Monica Blvd Suite 1286W, Santa Monica, CA 90404. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Sean C. Lai's phone number?
The number on file is (310) 453-0553. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Sean C. Lai's NPI number?
Sean C. Lai's National Provider Identifier is 1396739470. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Sean C. Lai train?
Sean C. Lai attended University of Washington School of Medicine, graduating in 1976. This comes from the CMS National Downloadable File.
CMS public data
How long has Sean C. Lai been practicing?
Sean C. Lai has 50 years experience. Calculated from a graduation year of 1976, reported in the CMS National Downloadable File.
CMS public data
What does Sean C. Lai do most often?
According to Medicare billing data, Sean C. Lai performs procedures including biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using a flexible endoscope and insertion of stomach tube using a flexible endoscope, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Sean C. Lai confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Sean C. Lai. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.