DR. JEFFREY PRESTON LAKE M.D.
NPI 1326006024
Colon & Rectal Surgery in Encino, CA


Quality Rating: 94.05 out of 100 score

NPI Status: Active since May 02, 2006

Contact Information

16311 VENTURA BLVD
SUITE 505
ENCINO, CA
ZIP 91436
Phone: (818) 645-5920

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  • Individual
  • Male
  • Years of Experience 26
  • Colon & Rectal Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About JEFFREY LAKE

Jeffrey Lake is a provider established in Encino, California and his medical specialization is Colon & Rectal Surgery with more than 26 years of experience. He graduated from Baylor College Of Medicine in 1999. The healthcare provider is registered in the NPI registry with number 1326006024 assigned on May 2006. The practitioner's primary taxonomy code is 208C00000X with license number A73315 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1326006024
Provider Name
DR. JEFFREY PRESTON LAKE M.D.
Gender
Male
Entity Type
Individual
Location Address
16311 VENTURA BLVD SUITE 505 ENCINO, CA 91436
Location Phone
(818) 645-5920
Mailing Address
16311 VENTURA BLVD SUITE 505 ENCINO, CA 91436
Medical School Name
BAYLOR COLLEGE OF MEDICINE
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
05-02-2006
Last Update Date
09-13-2010
Code Navigator

Jeffrey Lake is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.05, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: colorectal cancer screening, e-prescribing, implementation of use of specialist reports back to referring clinician or group to close referral loop, improved practices that disseminate appropriate self-management materials, medication reconciliation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide patient access, secure messaging, security risk analysis and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.87 for a new patient copayment and $20.28 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Colon & Rectal Surgery

Taxonomy Code
208C00000X
Type
Allopathic & Osteopathic Physicians
License No.
A73315
License State
CA
Taxonomy Description
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W18801MEDICARE UPIN (02) 
WA73315AMEDICARE PIN (08) 

PECOS Enrollment and Medicare Participation Status

Jeffrey Lake is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8123030335

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060706000227

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Prosthetic and Orthotic Devices

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each (HCPCS:A4385)

    3 DME suppliers used 15 Medicare Claims 320 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    1 DME suppliers used 12 Medicare Claims 240 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    1 DME suppliers used 12 Medicare Claims 240 Services Paid

  • Prosthetic/Orthotic devices (D1F)

    Adhesive remover, wipes, any type, each (HCPCS:A4456)

    1 DME suppliers used 12 Medicare Claims 360 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91436 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $99.5
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $24.87
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.14
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $20.28
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.05 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 93

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 5% 520
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
e-Prescribing 80% 45
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Improved Practices that Disseminate Appropriate Self-Management MaterialsYesN/A
Provide self-management materials at an appropriate literacy level and in an appropriate language.
Medication Reconciliation 98% 203
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.
Patient-Specific Education 45% 405
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 18% 378
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 93% 1184
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide Patient Access 85% 405
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 certain information.
Secure Messaging 2% 405
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of High-Risk Medications in the Elderly 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
378
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. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 175

    Diagnostic examination of the anus using an endoscope (HCPCS:46600)

  • 37

    Removal of hemorrhoid by rubber banding (HCPCS:46221)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeffrey Lake is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER18321 CLARK STREET
TARZANA, CA 91356
(818) 881-0800Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326006024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346001204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 0 + 0 + 1 + 2 + 0 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1326006024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912902792DR. JEFFREY D GOSS D.P.M.
Individual
Podiatrist16311 VENTURA BLVD STE 630
ENCINO, CA 91436
(818) 995-3039
1700884905 ARTHUR P. KOWELL M.D.
Individual
Psychiatry & Neurology (Neurology)16311 VENTURA BLVD SUITE 680
ENCINO, CA 91436
(818) 990-8561
1881692093DR. ROBERT FREUNDLICH M.D.
Individual
Specialist16311 VENTURA BLVD SUITE 680
ENCINO, CA 91436
(818) 990-8561
1700884871ENCINO NEUROLOGICAL MEDICAL GROUP
Organization
Specialist16311 VENTURA BLVD SUITE 680
ENCINO, CA 91436
(818) 990-8561
1295727659DR. FRANKLIN D NIVER D.M.D.
Individual
Dentist (Periodontics)16311 VENTURA BLVD SUITE 1110
ENCINO, CA 91436
(818) 788-6600
1386633303 STEVEN ZLATT M.D.
Individual
Anesthesiology16311 VENTURA BLVD #705/710
ENCINO, CA 91436
(818) 205-9500
1982685996DR. MARK WELLISCH M.D.
Individual
Orthopaedic Surgery16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1811978828MR. RICARDO CAMPBELL P.A.
Individual
Physician Assistant16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1467433037DR. BRAD STEVEN ELKINS M.D.
Individual
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1962483537OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP
Organization
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1790766491MR. DANIEL JEREMY COSGROVE MD
Individual
Urology16311 VENTURA BLVD STE 800
ENCINO, CA 91436
(878) 906-0635
1609857309MR. MALCOLM DAVID COSGROVE MD
Individual
Urology16311 VENTURA BLVD STE 1000
ENCINO, CA 91436
(818) 906-0635
1578544144DR. PETER DONALD ZEEGEN M.D.
Individual
Ophthalmology16311 VENTURA BLVD SUITE 750
ENCINO, CA 91436
(818) 990-3623
1861473464DR. PAYAM VAHEDIFAR M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)16311 VENTURA BLVD SUITE 800
ENCINO, CA 91436
(818) 788-7343
1346221728DR. DAVID HARLAN AIZUSS M.D.
Individual
Ophthalmology16311 VENTURA BLVD 750
ENCINO, CA 91436
(818) 990-3623
1104892538 BLAINE T ZAID D.O.
Individual
Anesthesiology16311 VENTURA BLVD STE.#1010
ENCINO, CA 91436
(818) 789-9988
1780640144MR. GEORGE A MARANON D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)16311 VENTURA BLVD SUITE 820
ENCINO, CA 91436
(818) 990-5500
1124065206DR. KATHERINE L SELLWOOD PSYD
Individual
Psychologist (Clinical)16311 VENTURA BLVD SUITE 977
ENCINO, CA 91436
(818) 907-5491
1376584698 BIJAN BROUKHIM M.D.
Individual
Specialist16311 VENTURA BLVD SUITE 1080
ENCINO, CA 91436
(818) 501-6775
1174568414DR. MARK H KRAMAR M.D.
Individual
Ophthalmology16311 VENTURA BLVD SUITE #750
ENCINO, CA 91436
(818) 990-3623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326006024, enumerated in the NPI registry as an "individual" on May 02, 2006

The provider is located at 16311 Ventura Blvd Suite 505 Encino, Ca 91436 and the phone number is (818) 645-5920

The provider's speciality is Colon & Rectal Surgery with taxonomy code 208C00000X

The provider has more than 26 years of experience. He graduated from Baylor College Of Medicine in 1999.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Diagnostic examination of the anus using an endoscope and Removal of hemorrhoid by rubber banding.

The practitioner is affiliated to the following hospital(s): PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.