Active NPI 1750376539 Individual Practitioner Male Practitioner

Dr. Nicholas George Lailas , MD

Urology • Reston, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Lailas, MD is a certified Urology practicing in Reston, VA. With approximately 36 years of clinical experience since graduating from Georgetown University School Of Medicine in 1990, Dr. Lailas delivers high-quality medical care to the local community at 1860 TOWN CENTER DRIVE, SUITE 150.

Dr. Lailas maintains professional affiliations with Loudoun Medical Group, Pc, Gastrointestinal Specialists Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include principal care management services for a single high-risk disease, first, established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1860 Town Center Drive, Suite 150

Reston, VA 201905905

Telephone 7034800220

Fax 7034800280

Associated Practice Facility / Clinic

🏢 Loudoun Medical Group, Pc Facility NPI 1730203142

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Reston, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs -4.5 yrs vs City Avg

City Avg: 40.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Reston, VA (381 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lailas (36 Years) 36 Yrs

Reston Specialty Average (40.5 Years) 40.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	839	139	$135.04	$60.25
99213 Established patient office or other outpatient visit, typically 15 minutes	417	351	$165.00	$96.65
81002 Urinalysis, manual test	186	134	$19.18	$3.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	117	$225.00	$130.92
51798 Ultrasound measurement of bladder capacity after voiding	130	99	$121.00	$11.80
36415 Insertion of needle into vein for collection of blood sample	60	57	$24.00	$8.51
52000 Diagnostic exam of bladder and urethra using an endoscope	56	50	$642.00	$260.14
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	39	25	$125.00	$46.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	26	$220.00	$79.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$360.00	$191.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$288.00	$136.79
51741 Electronic assessment of bladder emptying	22	21	$293.00	$12.98
55700 Biopsy of prostate gland	20	20	$600.00	$139.16
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$468.00	$31.73
76872 Ultrasound scan of pelvic region through rectum	20	20	$306.00	$34.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$266.53	$117.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$115.00	$62.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$395.00	$146.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	13	$119.00	$38.52
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	13	13	$1750.00	$383.12
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	13	13	$8280.00	$1222.74
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	13	$1962.00	$340.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$395.00	$181.29
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$839.00	$430.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	438	357	$151.37	$97.01
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	305	116	$100.00	$59.90
81002 Urinalysis, manual test	173	117	$16.00	$3.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	144	$205.96	$134.11
51798 Ultrasound measurement of bladder capacity after voiding	141	103	$121.00	$12.34
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	108	51	$105.00	$61.27
36415 Insertion of needle into vein for collection of blood sample	106	91	$24.00	$8.33
52000 Diagnostic exam of bladder and urethra using an endoscope	53	44	$642.00	$270.23
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	41	20	$80.00	$46.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$395.00	$184.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$360.00	$194.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$265.00	$118.84
51741 Electronic assessment of bladder emptying	26	23	$293.00	$12.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$366.00	$135.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$115.00	$57.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$220.00	$83.66
76872 Ultrasound scan of pelvic region through rectum	14	14	$306.00	$34.97
55700 Biopsy of prostate gland	13	13	$600.00	$141.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$468.00	$33.06
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$8280.00	$1274.40
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$1962.00	$355.52
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	11	11	$1750.00	$398.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$490.00	$246.67
55899 Other procedure on male genital system	11	11	$1500.00	$86.38
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$610.27	$73.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	430	337	$150.00	$98.71
81002 Urinalysis, manual test	156	117	$16.00	$3.37
51798 Ultrasound measurement of bladder capacity after voiding	136	105	$121.00	$12.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	114	$205.00	$136.50
36415 Insertion of needle into vein for collection of blood sample	70	68	$24.00	$2.93
52000 Diagnostic exam of bladder and urethra using an endoscope	52	48	$642.00	$287.20
51741 Electronic assessment of bladder emptying	42	40	$293.00	$10.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$395.00	$178.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$366.00	$136.85
55899 Other procedure on male genital system	32	32	$1500.00	$87.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$265.00	$123.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$115.00	$61.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	21	$190.83	$73.09
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	27	$660.33	$76.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$360.00	$198.45
55700 Biopsy of prostate gland	16	16	$600.00	$145.06
76872 Ultrasound scan of pelvic region through rectum	16	16	$306.00	$35.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$468.00	$34.02
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	12	$1907.69	$341.41
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$642.00	$82.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$908.92	$453.63
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$8280.00	$1560.56
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$780.00	$55.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	232	$138.74	$101.97
81002 Urinalysis, manual test	147	93	$16.00	$3.46
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	15	$1318.00	$160.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	88	$205.00	$145.09
51798 Ultrasound measurement of bladder capacity after voiding	94	69	$121.00	$12.43
36415 Insertion of needle into vein for collection of blood sample	53	48	$24.00	$2.96
52000 Diagnostic exam of bladder and urethra using an endoscope	51	44	$642.00	$272.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$115.00	$61.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$395.00	$176.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$360.00	$196.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	15	$119.00	$37.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$265.00	$124.85
55700 Biopsy of prostate gland	16	16	$600.00	$141.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$366.00	$143.04
76872 Ultrasound scan of pelvic region through rectum	16	16	$306.00	$35.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$839.00	$421.58
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	14	$715.00	$77.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$490.00	$251.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	268	223	$126.00	$84.51
81002 Urinalysis, manual test	170	107	$16.00	$3.42
51798 Ultrasound measurement of bladder capacity after voiding	96	76	$121.00	$12.28
36415 Insertion of needle into vein for collection of blood sample	82	75	$24.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$197.00	$123.33
52000 Diagnostic exam of bladder and urethra using an endoscope	46	40	$642.00	$246.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$252.00	$120.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$380.92	$178.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$335.50	$166.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$104.05	$50.62
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	17	$715.00	$198.96
55700 Biopsy of prostate gland	15	15	$600.00	$141.76
76872 Ultrasound scan of pelvic region through rectum	15	15	$306.00	$35.64
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$2502.00	$118.56
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1962.00	$352.38
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$8280.00	$1543.34
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$839.00	$430.48
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	14	14	$1750.00	$398.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1410.00	$340.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$366.00	$131.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	245	$126.00	$81.50
81002 Urinalysis, manual test	199	138	$16.00	$3.33
51798 Ultrasound measurement of bladder capacity after voiding	162	117	$121.00	$14.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	60	$197.00	$117.90
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	67	11	$1318.00	$224.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$377.09	$181.40
36415 Insertion of needle into vein for collection of blood sample	50	47	$24.00	$2.89
52000 Diagnostic exam of bladder and urethra using an endoscope	44	38	$642.00	$216.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$256.05	$120.40
76872 Ultrasound scan of pelvic region through rectum	23	23	$306.00	$33.42
55700 Biopsy of prostate gland	23	23	$600.00	$133.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$328.00	$144.26
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	16	$765.94	$161.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$894.93	$447.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$2502.00	$121.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	12	$119.00	$35.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$96.00	$49.73
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$3277.00	$739.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	208	$126.00	$79.96
81002 Urinalysis, manual test	194	134	$16.00	$3.31
51798 Ultrasound measurement of bladder capacity after voiding	101	79	$121.00	$18.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	87	$197.00	$115.87
36415 Insertion of needle into vein for collection of blood sample	70	63	$24.00	$2.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$373.16	$177.63
52000 Diagnostic exam of bladder and urethra using an endoscope	38	31	$642.00	$187.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$251.19	$120.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$96.00	$49.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$332.18	$153.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$489.29	$226.82
55700 Biopsy of prostate gland	11	11	$600.00	$132.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$562.00	$31.86
76872 Ultrasound scan of pelvic region through rectum	11	11	$306.00	$33.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	210	$126.00	$80.49
36415 Insertion of needle into vein for collection of blood sample	185	144	$24.00	$2.91
81002 Urinalysis, manual test	172	122	$16.00	$3.33
51798 Ultrasound measurement of bladder capacity after voiding	91	66	$121.00	$22.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	71	$193.26	$116.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$231.46	$116.49
52000 Diagnostic exam of bladder and urethra using an endoscope	39	33	$642.00	$188.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	29	$328.00	$157.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$331.00	$183.55
55700 Biopsy of prostate gland	18	18	$600.00	$142.71
76872 Ultrasound scan of pelvic region through rectum	18	18	$306.00	$35.54
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$562.00	$34.54
51741 Electronic assessment of bladder emptying	15	15	$293.00	$14.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$415.00	$225.02
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$1962.00	$330.14
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$8280.00	$1426.22

Medical Specialties & State Licenses

CMS Verified: 2024-03-18

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101054583

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1750376539 (VA)

Medicaid State Provider ID

30016055850001 (VA)

Commercial Insurance / Payer ID Rr Medicare Va

340017875 (VA)

Commercial Insurance / Payer ID Rrmedicare

340017876 (DC)

Hospital & Practice Group Affiliations

Loudoun Medical Group, Pc

224 D Cornwall St Nw, Leesburg, VA 201762700

Gastrointestinal Specialists Llc

1860 Town Ctr Dr, Reston, VA 201905905

Phone: 7034800220

Loudoun Medical Group, Pc

1860 Town Ctr Dr, Reston, VA 201905905

Phone: 7034800220

Gastrointestinal Specialists Llc

224 D Cornwall St Nw, Leesburg, VA 201762704

Phone: 7034436733

Gastrointestinal Specialists Llc

6602 W Broad St, Richmond, VA 232301702

Phone: 8042858206

Gastrointestinal Specialists Llc

19415 Deerfield Ave, Leesburg, VA 201768470

Phone: 7037241195

Loudoun Medical Group, Pc

20955 Professional Plz, Ashburn, VA 201473405

Phone: 7037297652

Loudoun Medical Group, Pc

19415 Deerfield Ave, Leesburg, VA 201768470

Phone: 7037241195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Pamela Michel , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1043101801

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Lisset Jarquin , PA

Physician Assistant

NPI 1396429221

Physician Assistant

Mona Mistry , PT

Physical Therapist

NPI 1861621450

Physical Therapist

Stephanie Cortez , MSN, FNP-C

Nurse Practitioner - Family

NPI 1912842881

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 18, 2024

Registered at 1860 TOWN CENTER DRIVE, SUITE 150, RESTON, VA 201905905 (Tel: 7034800220)

📍

Updated Business Mailing Address March 18, 2024

Registered at 224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 201762704 (Tel: 7037376010)

✅

NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2014

Registered at 1860 TOWN CENTER DR, SUITE 150, RESTON, VA 201905896 (Tel: 7034800220)

📍

Updated Business Mailing Address February 20, 2014

Registered at PO BOX 17334, BALTIMORE, MD 212971334 (Tel: 7034436717)

👤

Provider Name / Credentials Updated February 20, 2014

Recorded as NICHOLAS LAILAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Urology (License #0101054583 in VA)

🟢

Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750376539

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2005

Last Update: March 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

224 D Cornwall Street Nw, Ste 403

Leesburg, VA 201762704

Phone: 7037376010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.