LAKE HEALTH PHYSICIAN GROUP PLASTIC SURGERY
NPI 1174844724
Surgery - Plastic and Reconstructive Surgery in Mentor, OH

Q: What is Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1174844724. It was assigned to this organization in the NPPES registry on June 17, 2010. The provider is doing business as Lake Health Physician Group Plastic Surgery.

Q: What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since June 17, 2010

9500 MENTOR AVE, SUITE 200, MENTOR, OH 44060(440) 205-5433(440) 205-5451 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lake Health Physician Group Plastic Surgery NPPES

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

LAKE HEALTH PHYSICIAN GROUP PLASTIC SURGERY (NPI 1174844724) is a healthcare organization registered as a plastic and reconstructive surgery in Mentor, Ohio and active in the NPI registry since June 2010. The organization lists Robert B Tracz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1174844724

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameLAKE HOSPITAL SYSTEM, INC.

Location Address9500 MENTOR AVE, SUITE 200Mentor, OH 44060-8713

Mailing AddressPo Box 714328Columbus, OH 43271-4328 · (440) 205-5433 · Fax (440) 205-5451

Phone(440) 205-5433

Fax(440) 205-5451

Organization SubpartNo

Authorized OfficialRobert B TraczChief Financial Officer · (440) 354-1642

Enumeration DateJune 17, 2010

✔ NPI 1174844724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

9500 MENTOR AVE, Mentor, OH 44060

Open in Google Maps ↗

Other Names 1

Doing Business AsLake Health Physician Group Plastic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Health Physician Group Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

284

Medicare enrollment records show 284 clinicians reassign Medicare billing to Lake Health Physician Group Plastic Surgery, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 154 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner115

Family Practice51

Internal Medicine20

Obstetrics/Gynecology16

Neurology12

General Surgery10

Pediatric Medicine10

Cardiovascular Disease (Cardiology)7

21 other specialties43

Nearest to this location (20)

See all 284

John Allen, D.O.

Internal Medicine

NPI 1215514815

9500 MENTOR AVENUE SUITE 100
Mentor, OH 44060

(440) 898-1021

✔ PECOS✔ Accepts MedicareSame address

Kristin Biddell, CNP

Nurse Practitioner

NPI 1467762989

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Gordon Bodzin, M.D.

General Surgery

NPI 1053388637

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-1899

✔ PECOS✔ Accepts MedicareSame address

Harold Bowersox, D.O.

Family Practice

NPI 1447362066

9500 MENTOR AVE SUITE 360
Mentor, OH 44060

(440) 255-5508

✔ PECOSSame address

Sara Brown

Family Practice

NPI 1003312760

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Danielle Cooper, MD

Family Practice

NPI 1740256643

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Marc Dinga, MD

Pulmonary Disease

NPI 1760470751

9500 MENTOR AVEMUE SUITE 100
Mentor, OH 44060

(440) 255-5620

✔ PECOSSame address

Tasha Hodgson, FNP-BC

Nurse Practitioner

NPI 1578268264

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Kruse, MD

Family Practice

NPI 1962479857

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOSSame address

Marc Mcnaughton, MD

Family Practice

NPI 1114993029

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 350-4880

✔ PECOS✔ Accepts MedicareSame address

Timothy Pritchard, M.D.

Colorectal Surgery (Proctology)

NPI 1225126824

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOSSame address

David Reznick, M.D.

Critical Care (Intensivists)

NPI 1821380023

9500 MENTOR AVE STE 200
Mentor, OH 44060

(440) 354-0377

✔ PECOS✔ Accepts MedicareSame address

Jay Taylor, MD

Family Practice

NPI 1689641300

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOSSame address

James Turbett, MD

Family Practice

NPI 1730156621

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Bradley Webb, M.D.

Orthopedic Surgery

NPI 1639321615

9500 MENTOR AVENUE SUITE 210
Mentor, OH 44060

(440) 352-1711

✔ PECOS✔ Accepts MedicareSame address

Michael Weisburger, M.D

Orthopedic Surgery

NPI 1811102940

9500 MENTOR AVE STE 210
Mentor, OH 44060

(440) 352-1711

✔ PECOS✔ Accepts MedicareSame address

Lucille Zappitelli-Sason, C.N.P.

Nurse Practitioner

NPI 1396284873

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOSSame address

Richard Kucera, MD

Family Practice

NPI 1326015041

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOSSame address

Lillian Lopez, DO

Family Practice

NPI 1932312600

9500 MENTOR AVE STE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOS✔ Accepts MedicareSame address

Mark Komar, MD

Family Practice

NPI 1003883711

9500 MENTOR AVE SUITE 100
Mentor, OH 44060

(440) 352-4880

✔ PECOSSame address

See all 284 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lake Hospital System, Inc.'s NPI number?

The NPI number for Lake Hospital System, Inc. is 1174844724. It was assigned to this organization in the NPPES registry on June 17, 2010. The provider is doing business as Lake Health Physician Group Plastic Surgery.

Where is Lake Hospital System, Inc. located?

Lake Hospital System, Inc. is located at 9500 Mentor Ave Suite 200, Mentor, OH 44060. The listed phone number is (440) 205-5433.

What is Lake Hospital System, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Lake Hospital System, Inc. enrolled in Medicare?

Yes. Lake Hospital System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Hospital System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 284 clinicians in 29 Medicare specialties reassign their Medicare billing to Lake Hospital System, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (115), Family Practice (51) and Internal Medicine (20). Of these, 20 practice at this address and 154 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Hospital System, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lake Hospital System, Inc. 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.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc. was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.