MARK ADRIAN LAKE M.D.
NPI 1104848423
Dermatology in Lafayette, IN

Q: What is Mark Lake's NPI number?

The NPI number for Mark Lake is 1104848423. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Mark Lake's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Lake was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

15 EXECUTIVE DR, SUITE 4, LAFAYETTE, IN 47905(765) 838-3428(765) 838-3440 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mark Adrian Lake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ADRIAN LAKE M.D. (NPI 1104848423) is an individual dermatology provider in Lafayette, Indiana, licensed in Indiana (01055166) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1996).

NPPES Registry Identity

NPI1104848423

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameMARK ADRIAN LAKECredential: M.D.

Location Address15 EXECUTIVE DR, SUITE 4Lafayette, IN 47905-3833

Mailing Address15 Executive Dr, Suite 4Lafayette, IN 47905-3833 · (765) 838-3428 · Fax (765) 838-3440

Phone(765) 838-3428

Fax(765) 838-3440

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1996

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 23, 2019

✔ NPI 1104848423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IN · 01055166

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

15 EXECUTIVE DR, Lafayette, IN 47905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Adrian Lake M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365425857

PECOS Enrollment IDI20040607001474

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,276 services274 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

961 services781 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

497 services423 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

311 services273 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

234 services215 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

134 services115 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

101 services101 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

98 services63 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

84 services75 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services67 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

55 services42 patients

Application of light to destroy precancer skin growth 96567

This procedure involves the use of special light to eradicate precancerous skin growths. The light targets abnormal cells causing them to die off, while leaving healthy skin unharmed. It's a non-invasive method that helps prevent skin cancer.

28 services22 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

28 services22 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

25 services24 patients

Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm 17263

This procedure targets and eliminates a cancerous skin growth between 2.1 and 3.0 cm on your trunk, arms, or legs. It's done by applying specific treatments like heat, cold, or medicated creams to destroy the cancer cells, preventing them from spreading.

21 services20 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%1,480 patients5/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%253 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 572 patients

Patients screened: 97% · 572 patients

100%26 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%2,137 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA A. OSBORN LCSW

Social Worker (Clinical)

15 EXECUTIVE DR, STE 3
LAFAYETTE, IN 47905

Tippecanoe County (765) 404-4987

NATIONAL MENTOR HEALTHCARE, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

15 EXECUTIVE DR, STE 1
LAFAYETTE, IN 47905

Tippecanoe County (317) 581-2380

MADELINE NICOLE OLIVER SAWYERS

Marriage & Family Therapist

15 EXECUTIVE DR
LAFAYETTE, IN 47905

Tippecanoe County (317) 782-5504

LAKE DERMATOLOGY INC.

Dermatology

15 EXECUTIVE DR, SUITE 4
LAFAYETTE, IN 47905

Tippecanoe County (765) 838-3428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Lake's NPI number?

The NPI number for Mark Lake is 1104848423. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mark Lake located?

Mark Lake practices at 15 Executive Dr Suite 4, Lafayette, IN 47905. The listed phone number is (765) 838-3428.

What is Mark Lake's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Lake enrolled in Medicare?

Yes. Mark Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Lake accept?

Health plans from UnitedHealthcare list Mark Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Lake affiliated with any hospitals?

According to CMS data, Mark Lake is affiliated with Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Mark Lake was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.