TONY C LAM (MD) – Obstetrics & Gynecology Physician, NPI 1093742314
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $91 |
| Urgo Medical North America, LLC | $34 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040928000486 | I | Obstetrics/Gynecology | MO | TBD |
| I20230203002109 | I | Obstetrics/Gynecology | MS | TBD |
| I20230913000531 | I | Obstetrics/Gynecology | IL | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 51 | 51 | $0 |
| 77067 | Screening mammography | 51 | 51 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 20 | 20 | $0 |
Insurance plans in this area (ZIP 65775)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Physician Assistant | OK | |
| - | IL | |
| Internal Medicine, Rheumatology | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| - | IL | |
| Nurse Practitioner | AR |
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