MR. GARY MATHERS LAKE III MD
NPI 1124056916
Otolaryngology in Tuscaloosa, AL

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1300 MCFARLAND BLVD NE, STE 150, TUSCALOOSA, AL 35406(205) 758-9041(205) 345-8328 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary Mathers Lake Iii Md NPPES

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

MR. GARY MATHERS LAKE III MD (NPI 1124056916) is an individual otolaryngology provider in Tuscaloosa, Alabama, licensed in Alabama (18921) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1990).

NPPES Registry Identity

NPI1124056916
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. GARY MATHERS LAKE IIICredential: MD
Location Address1300 MCFARLAND BLVD NE, STE 150Tuscaloosa, AL 35406-2283
Mailing Address1300 Mcfarland Blvd Ne, Ste 150Tuscaloosa, AL 35406-2283 · (205) 758-9041 · Fax (205) 345-8328
Fax(205) 345-8328
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1990
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
NPI 1124056916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 18921
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1300 MCFARLAND BLVD NE, Tuscaloosa, AL 35406

Other Identifiers 2

Other051025432AL · Blue Cross Blue Shield
Medicaid000025432AL

Accepted 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

Mr. Gary Mathers Lake Iii Md 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 ID5698879302
PECOS Enrollment IDI20070404000480
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,972 services51 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
260 services49 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
177 services153 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
146 services121 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
119 services98 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
76 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%348 patients3/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,460 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,741 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
18%566 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%266 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,396 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
31%2,249 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%2,249 patients3/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 566 patients
0%566 patients5/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
76%286 patients
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 9

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

Otolaryngology
1300 MCFARLAND BLVD NE, STE 150
TUSCALOOSA, AL 35406
Occupational Therapist
1300 MCFARLAND BLVD NE, SUITE 320
TUSCALOOSA, AL 35406
Otolaryngology
1300 MCFARLAND BLVD NE, SUITE 150
TUSCALOOSA, AL 35406
Home Health
1300 MCFARLAND BLVD NE
TUSCALOOSA, AL 35406
Otolaryngology
1300 MCFARLAND BLVD NE, STE 150
TUSCALOOSA, AL 35406
Otolaryngology
1300 MCFARLAND BLVD NE, STE 150
TUSCALOOSA, AL 35406
Otolaryngology
1300 MCFARLAND BLVD NE, STE 150
TUSCALOOSA, AL 35406
Otolaryngology
1300 MCFARLAND BLVD NE, STE 150
TUSCALOOSA, AL 35406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124056916, enumerated as an "individual" on June 29, 2006.

The provider is located at 1300 MCFARLAND BLVD NE STE 150 TUSCALOOSA, AL 35406 and the phone number is (205) 758-9041.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.