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STEPHANIE ANN LAKE DO
NPI 1255865952
Pediatrics in Dayton, OH

Active since April 19, 2017PECOS Enrolled
1816 HARVARD BLVD, DAYTON, OH 45406(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2023, Aug 31, 2023, Feb 13, 2023 and 4 more (7 updates tracked since 2017).

About Stephanie Ann Lake Do NPPES

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

STEPHANIE ANN LAKE DO (NPI 1255865952) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (34.013785) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1255865952
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE ANN LAKECredential: DO
Location Address1816 HARVARD BLVDDayton, OH 45406-4543
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-4000
Fax(937) 641-4500
Sole ProprietorNo
Enumeration DateApril 19, 2017
Last NPPES UpdateFebruary 13, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1255865952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 34.013785
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1816 HARVARD BLVD, Dayton, OH 45406
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie A Weber Do

Secondary Practice Locations 6

Location 13333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050
Location 28501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791
Location 31711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172
Location 41010 Valley StDayton, OH 45404-2070 · Phone (937) 641-4000 · Fax (937) 641-4500
Location 5171 Deeds Park DrDayton, OH 45404-2699 · Phone (937) 800-1235 · Fax (937) 800-1237
Location 61 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3600 · Fax (937) 641-5802

Other Identifiers 1

Medicaid0226309OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Ann Lake Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Stephanie Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Children's Hospital
3.2 mi
Social Worker
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Hospital
  • 165 clinicians in this Medicare group
NPI 1548045503 (937) 641-4000
Dayton Children's Specialty Physicians, Inc.
3.2 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Lake's NPI number?

The NPI number for Stephanie Lake is 1255865952. It was assigned to this individual provider in the NPPES registry on April 19, 2017. The provider is also known as Stephanie A Weber Do.

Where is Stephanie Lake located?

Stephanie Lake practices at 1816 Harvard Blvd, Dayton, OH 45406. The listed phone number is (937) 641-4000.

What is Stephanie Lake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Lake enrolled in Medicare?

Yes. Stephanie Lake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Lake reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Dayton, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). Each 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 Stephanie Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Lake accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Lake was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.