DR. DOUGLAS R. LAKE MD
NPI 1194808394
Radiology - Diagnostic Radiology in Ames, IA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
1215 DUFF AVENUE, AMES, IA 50010(515) 239-4456(515) 239-4761 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas R. Lake Md NPPES

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

DR. DOUGLAS R. LAKE MD (NPI 1194808394) is an individual diagnostic radiology provider in Ames, Iowa, licensed in Iowa (37861) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).

NPPES Registry Identity

NPI1194808394
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DOUGLAS R. LAKECredential: MD
Location Address1215 DUFF AVENUEAmes, IA 50010-3014
Mailing AddressPo Box 3014, 1215 Duff AvenueAmes, IA 50010-3014 · (515) 239-4456 · Fax (515) 239-4761
Fax(515) 239-4761
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
NPI 1194808394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IA · 37861 Licensed in CA · A99351 Licensed in NE · 24188 Licensed in SC · 23902
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1215 DUFF AVENUE, Ames, IA 50010

Other Identifiers 12

Medicaid10025173600NE
Medicaid10025248800NE
Other200145166IA · Wellmark Select First
Medicaid7729430SD
Other01626Bc/bs Ne
OtherP00619099NE · Rr Medicare
Other201477608IA · Wellmark Select First
Other34783Bc/bs Ne
Medicaid69958751CO
OtherP00619095IA · Rr Medicare
Medicaid10025186700NE
Medicaid1194808394IA

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

Dr. Douglas R. Lake 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 ID1456457407
PECOS Enrollment IDI20070508000234, I20080726000071
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 114

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
18,118 services200 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
11,792 services141 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
472 services466 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
472 services466 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
377 services367 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
276 services191 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Story County Hospital

Critical Access Hospitals · Nevada, IA
OwnershipGovernment - Local
CMS Certification Number161333
Location640 South 19th StreetNevada, IA 50201 · Story County
Emergency services

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50010 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1215 DUFF AVENUE
AMES, IA 50010
Pediatrics
1215 DUFF AVENUE
AMES, IA 50010
Radiology (Diagnostic Radiology)
1215 DUFF AVENUE
AMES, IA 50010
Surgery
1215 DUFF AVENUE
AMES, IA 50010
Internal Medicine (Pulmonary Disease)
1215 DUFF AVENUE
AMES, IA 50010
Pediatrics
1215 DUFF AVENUE
AMES, IA 50010
Internal Medicine (Gastroenterology)
1215 DUFF AVENUE, MCFARLAND CLINIC. PC
AMES, IA 50010
Otolaryngology
1215 DUFF AVENUE, MCFARLAND CLINIC PC
AMES, IA 50010

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 Douglas Lake's NPI number?

The NPI number for Douglas Lake is 1194808394. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Douglas Lake located?

Douglas Lake practices at 1215 Duff Avenue, Ames, IA 50010. The listed phone number is (515) 239-4456.

What is Douglas Lake's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Lake enrolled in Medicare?

Yes. Douglas 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.

Is Douglas Lake affiliated with any hospitals?

According to CMS data, Douglas Lake is affiliated with Mary Greeley Medical Center, Broadlawns Medical Center, Story County Hospital and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Lake was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.