TONY C LAM (MD) – Obstetrics & Gynecology Physician, NPI 1093742314

TONY C LAM (MD) is a healthcare provider. based in West plains, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. R2P87 (MO). The NPI Number for TONY C LAM (MD) is 1093742314

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TONY C LAM (MD)
NPI
1093742314
Phone
(417) 257-9111
Address
1100 N Kentucky Ave
Enumeration Date
26 June 2006
Last Update Date
13 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
41725691116036
Graduation Year
1983 (43 years ago)
PAC ID
4284603176
Group Practice PAC ID
3870491863
Professional Enrollment ID
I20040928000486
Address ID
MO657752029WE1100XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for TONY C LAM (MD)

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 257-9111

    Type: Location

  • 1627 Gibson Ave

    West Plains, MO 657751873

    Phone: (417) 256-1838

    Type: Location

  • Schwent Drive, Saint Mary, St. Mary, Ste. Genevieve County, Missouri, 63673, United States

    STE GENEVIEVE, MO 636701434

    Phone: (573) 883-5715

    Fax: (573) 883-2463

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($91).

Total Amount

$125

General + Research + Ownership

Payments

2

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040928000486IObstetrics/GynecologyMOTBD
I20230203002109IObstetrics/GynecologyMSTBD
I20230913000531IObstetrics/GynecologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography5151$0
77067Screening mammography5151$0
77080Dxa bone density measurement of hip, pelvis, spine2020$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870491863View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Physician AssistantOK
-IL
Internal Medicine, RheumatologyMO
A N E S T H E S I O L O G YMO
-MO
-IL
Nurse PractitionerAR

Reviews

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Frequently asked questions

How do I look up TONY C LAM (MD) by NPI?
Use NPI 1093742314 when you need to reference TONY C LAM (MD) in forms, claims, or directories.
Is TONY C LAM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TONY C LAM (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for TONY C LAM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place TONY C LAM (MD)?
The snapshot lists West Plains, Missouri for TONY C LAM (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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