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DR. MARK S. LAKE D.D.S.
NPI 1356479539
Dentist - General Practice in Osage Beach, MO

Active since March 01, 2007PECOS Enrolled
1037 PALISADES BLVD, STE 9, OSAGE BEACH, MO 65065(573) 348-9888(573) 348-9894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark S. Lake D.d.s. NPPES

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

DR. MARK S. LAKE D.D.S. (NPI 1356479539) is an individual general practice provider in Osage Beach, Missouri, licensed in Missouri (2006014707) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356479539
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK S. LAKECredential: D.D.S.
Location Address1037 PALISADES BLVD, STE 9Osage Beach, MO 65065-3340
Mailing Address1037 Palisades Blvd, Ste 9Osage Beach, MO 65065-3340 · (573) 348-9888 · Fax (573) 348-9894
Phone(573) 348-9888
Fax(573) 348-9894
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356479539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2006014707
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1037 PALISADES BLVD, Osage Beach, MO 65065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark S. Lake D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65065 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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

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

ADVANCED RADIOLOGY LLC
Radiology (Diagnostic Radiology)
1037 PALISADES BLVD, SUITE 7
OSAGE BEACH, MO 65065
Camden County (573) 746-7010

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 Mark Lake's NPI number?

The NPI number for Mark Lake is 1356479539. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mark Lake located?

Mark Lake practices at 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065. The listed phone number is (573) 348-9888.

What is Mark Lake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Lake enrolled in Medicare?

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

What insurance does Mark Lake accept?

Health plans from Guardian list Mark 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 Mark Lake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.