Tony Y. Lai, M.D.
NPI 1902126873ActiveIndividual· Family Medicine· Sacramento, CA
Family Medicine (M.D.) with Sutter Valley Medical Foundation, practicing in Sacramento, California. Their prescriptions cost Medicare Part D more than their services did: $229,430 for 2,697 claims, against $49,128 paid for services in 2024. Boston Scientific Corporation reported $136.38 in payments in 2025, mostly food and beverage. Lists Sutter Medical Center, Sacramento and 1 other hospital as hospital affiliations.
Overview
| NPI | 1902126873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 2, 2010 |
| Last updated in NPPES | Jul 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A118858 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 606 across 29 procedure codes |
| Paid by Medicare | $49,128 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,697 · 5,948 30-day fills |
|---|---|
| Patients | 242 |
| Total drug cost | $229,430 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
Hospital affiliations
- Sutter Medical Center, SacramentoSacramento, CA
- Sutter Roseville Medical CenterRoseville, CA
Other facilities
- Sutter Care at HomeHome health agency · Sacramento, CA
Industry payments (Open Payments)
- 2025$136.38 · 2 payments from 1 company
- 2024$273.75 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $136.38 | 2 |
What the 2025 payments were for
- Food and Beverage$136.38 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 556 family medicine physicians in Sacramento · All family medicine physicians in California