JASON EDWARD LAKE MD
NPI 1205051430
Orthopaedic Surgery - Foot and Ankle Surgery in Gilbert, AZ

Q: What is Jason Lake's NPI number?

The NPI number for Jason Lake is 1205051430. It was assigned to this individual provider in the NPPES registry on April 14, 2007.

Q: What is Jason Lake's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lake was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 14, 2007PECOS EnrolledAccepts Medicare Assignment

2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ 85234(480) 964-2908(480) 833-2136 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Jul 25, 2022, Feb 27, 2017 (3 updates tracked since 2017).

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About Jason Edward Lake Md NPPES

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

JASON EDWARD LAKE MD (NPI 1205051430) is an individual foot and ankle surgery provider in Gilbert, Arizona, licensed in Arizona (42724) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of University Of Arizona College Of Medicine (2004).

NPPES Registry Identity

NPI1205051430

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameJASON EDWARD LAKECredential: MD

Location Address2940 E BANNER GATEWAY DR STE 200-250Gilbert, AZ 85234-2168

Mailing AddressPo Box 80217Phoenix, AZ 85060-0217 · (602) 385-2115 · Fax (480) 418-3323

Phone(480) 964-2908

Fax(480) 833-2136

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2004

Enumeration DateApril 14, 2007

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1205051430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in AZ · 42724

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35. 093195 (OH), 42724 (AZ), 19568 (MS)

2940 E BANNER GATEWAY DR STE 200-250, Gilbert, AZ 85234

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Secondary Practice Location 1

Location 11675 E Melrose St Ste 101-103Gilbert, AZ 85297-1001 · Phone (602) 648-5444 · Fax (602) 772-3801

Other Identifiers 1

Other3Z5372AZ · Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Edward 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 ID7810041985

PECOS Enrollment IDI20100922000579

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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Specialists Of North America PLLC

Same address

Orthopaedic Surgery

2940 E BANNER GATEWAY DR STE 200-250
Gilbert, AZ 85234

Reassigned Medicare billing, Arizona enrollment
330 clinicians in this Medicare group

NPI 1588986301 (480) 964-2908

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

Areas of Expertise CMS Part B claims 25

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.

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.

420 services253 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

343 services192 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.

300 services234 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

298 services156 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

111 services70 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

103 services97 patients

Application of walking cast covering below knee to toe 29425

A walking cast covering from below the knee to the toe is a type of immobilization device applied to help heal injuries or conditions affecting the lower leg, ankle, or foot. It provides support and protection, allowing safe mobility while recovery takes place.

92 services60 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

69 services52 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

60 services56 patients

Mri scan of leg without contrast 73718

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

49 services41 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

41 services33 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

36 services35 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

32 services24 patients

X-ray of foot, minimum of 3 views 73630

32 services30 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.

31 services31 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

29 services11 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

26 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

20 services17 patients

Injection, methylprednisolone acetate, 20 mg J1020

Methylprednisolone acetate is a medication given via injection to reduce inflammation and pain. It's often used to treat conditions like arthritis, allergic reactions, and certain skin diseases. The 20 mg dose is tailored to your specific needs.

18 services13 patients

Harvest of graft from small bone 20900

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

17 services17 patients

Reconstruction of ankle joint with prosthesis 27702

Reconstruction of the ankle joint with a prosthesis is a surgical procedure to replace a damaged ankle with an artificial joint. This is done to alleviate pain, improve mobility, and restore function in individuals with severe ankle conditions.

14 services14 patients

Secondary repair of disrupted collateral ligament of ankle 27698

Secondary repair of a disrupted collateral ligament in your ankle involves surgical intervention to fix a previously unsuccessful repair. This procedure helps restore stability to your ankle, improve mobility, and reduce pain.

13 services13 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

12 services11 patients

Transfer of deep tendon of foot with muscle rerouting 27691

This procedure involves moving a deep tendon in your foot to a new location. It also includes rerouting a muscle to improve foot function. It's typically done to correct foot deformities or improve walking ability.

11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

2 suppliers28 claims28 services$70.45 avg. paid by Medicare

Ankle foot orthosis, plastic or other material, custom fabricated L1940

DME-Orthotic Devices · category DF003N

2 suppliers11 claims12 services$512.14 avg. paid by Medicare

Ankle foot orthosis, plastic with ankle joint, custom fabricated L1970

DME-Orthotic Devices · category DF003N

1 supplier13 claims13 services$598.08 avg. paid by Medicare

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only L2330

DME-Orthotic Devices · category DF000N

2 suppliers11 claims12 services$401.16 avg. paid by Medicare

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820

DME-Orthotic Devices · category DF000N

2 suppliers25 claims26 services$89.30 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers81 claims81 services$241.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CLAY DANIEL SHORTER PA

Physician Assistant