MARY LOU LAO DAVID (FNP-BC) – Primary Care Nurse Practitioner, NPI 1245467992
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARY LOU LAO DAVID (FNP-BC)
MemorialCare Medical Group, 4050, Barranca Parkway, Woodbridge, Irvine, Orange County, California, 92604, United States
IRVINE, CA 926047706
Phone: (949) 551-1090
Fax: (949) 262-5500
Type: Mailing
22, Bluff Cove Drive, Aliso Viejo, Orange County, California, 92656, United States
ALISO VIEJO, CA 926568077
Phone: (949) 360-0587
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$70
General + Research + Ownership
Payments
3
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $54 |
| Merck Sharp & Dohme LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140611002110 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 404 | 32 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 203 | 29 | $0 |
Insurance plans in this area (ZIP 92604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CA | 85610 | Blood test, clotting time | 418 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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