DR. JOHN WILLIAM LALLY (MD) – Otolaryngology Physician, NPI 1407390339

DR. JOHN WILLIAM LALLY (MD) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. T7272 (TX). The NPI Number for DR. JOHN WILLIAM LALLY (MD) is 1407390339

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN WILLIAM LALLY (MD)
NPI
1407390339
Phone
(210) 916-3910
Address
3551 ROGER BROOKE DR
Enumeration Date
12 December 2016
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5756228170
Graduation Year
2013 (13 years ago)
PAC ID
7517297971
Group Practice PAC ID
9436062759
Professional Enrollment ID
I20230320000244
Address ID
NM882015227RO601XXRDXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

Provider Addresses for DR. JOHN WILLIAM LALLY (MD)

  • 3551 ROGER BROOKE DR

    SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-3910

    Fax: (210) 916-2077

    Type: Mailing

  • 18511 HIGHLANDER MEDICS ST

    FORT BLISS, TX 799065327

    Phone: (915) 742-9351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,930.

Total Amount is formed as General ($1,930) + Research ($0) + Ownership ($0) = $1,930.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,599).

Total Amount

$1,930

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,930

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2025-10-21

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
I20230320000244IOtolaryngologyNMTBD
I20240305001043IOtolaryngologyTXTBD
I20251021002462IOtolaryngologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3224$0
31575Diagnostic exam of voice box using a flexible endoscope2315$0
31231Diagnostic exam of nasal passages using an endoscope1413$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 9436062759View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NM
Nurse PractitionerNM
Nurse PractitionerNM
Nurse PractitionerNM
Family PracticeNM
-NM
P O D I A T R YNM
-NM
Nurse PractitionerNM
G A S T R O E N T E R O L O G YNM

Reviews

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Frequently asked questions

What is DR. JOHN WILLIAM LALLY (MD)'s NPI number?
DR. JOHN WILLIAM LALLY (MD)'s NPI is 1407390339 — the number used across U.S. healthcare to identify this provider.
Would DR. JOHN WILLIAM LALLY (MD) appear as active to a payer?
You can treat DR. JOHN WILLIAM LALLY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JOHN WILLIAM LALLY (MD)?
DR. JOHN WILLIAM LALLY (MD) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JOHN WILLIAM LALLY (MD) located near Jbsa Ft Sam Houston?
DR. JOHN WILLIAM LALLY (MD) currently maps to Jbsa Ft Sam Houston, Texas in this extract.
Can I trust this NPI listing for DR. JOHN WILLIAM LALLY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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