Dr. James Edward Lai, MD

Dr. Lai practices at Alta Bates Summit Medical Center in Oakland, California, part of Sutter Health.

Dr. Lai's NPI, 1407992001, was assigned on January 30, 2007. Dr. Lai graduated from OU College of Medicine in 2006. Dr. Lai holds California license A137051.

Dr. Lai's primary practice is Alta Bates Summit Medical Center, at 350 Hawthorne Avenue, Oakland, CA 94609 in Alameda County. The practice phone is (510) 655-4000.

Dr. Lai's primary practice is Alta Bates Summit Medical Center in Oakland, California, part of Sutter Health. Dr. Lai is also affiliated with Stanford Hospital at 300 Pasteur Drive. The medical group on file is Palo Alto Foundation Medical Group. Dmand AI also links Dr. Lai to 3 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Lai practices, 7 sites in all. Vendor and product names are available with a free account.

Interventional cardiology is Dr. Lai's primary specialty in the NPI Registry, under taxonomy code 207RI0011X. Dr. Lai is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Lai's licenses on file in 3 states: California, Ohio and Georgia.

Dmand AI lists angioplasty and cardiac catheterization among the conditions Dr. Lai treats.

CMS data shows 2,820 Medicare services from Dr. Lai across 24 procedure codes in 2024, for 1,225 Medicare patients. Medicare paid $288,838 for them.

CMS counts 1,225 Medicare patients who saw Dr. Lai in 2024. The largest group is 75 to 84, with 515 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 35% are also on Medicaid. Their average risk score is 1.97, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Lai's median patient age at 69, with 43% women.

In 2024, Dr. Lai wrote 1,726 Medicare Part D claims for 318 patients. 82% of them were for generic drugs. CMS names the drug for 1,566 of them, across 29 drugs with 11 or more claims each, at $344,139 in total drug cost. In 2023, CMS named 1,840 claims across 29 drugs.

Dr. Lai accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Lai as offering telehealth. CMS counts 16 procedures of coronary angioplasty and stenting by Dr. Lai, more than 42% of the clinicians it reports for that procedure.

Leg revascularization (restoring blood flow): 1 to 10 procedures (CMS shows small counts as a range)

Pacemaker insertion or repair: 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 4 papers to Dr. Lai in 2008. Dr. Lai's most frequent co-author is Douglas Ross Johnston, MD.

CMS Open Payments shows 90 general payments to Dr. Lai from 16 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Edwards Lifesciences Corporation paid the most, $1,771.

Dr. Lai graduated from OU College of Medicine in 2006. Dr. Lai is a member of ACC.

Dr. Lai is in network with 14 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.