1. Home
  2. Directory
  3. Pennsylvania
  4. Havertown
  5. Family Medicine
  6. NPI Profile

DR. ERIC J LAKE DO
NPI 1710919139
Family Medicine - Sports Medicine in Havertown, PA

Active since July 07, 2006Opted out of Medicare · through Apr 28, 2027
525 W CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083(610) 789-7767(610) 789-7768 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Eric J Lake Do NPPES

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

DR. ERIC J LAKE DO (NPI 1710919139) is an individual sports medicine provider in Havertown, Pennsylvania, licensed in Pennsylvania (OS012275) and active in the NPI registry since July 2006. He has opted out of Medicare through April 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710919139
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ERIC J LAKECredential: DO
Location Address525 W CHESTER PIKE, SUITE 203Havertown, PA 19083-4500
Mailing Address525 W Chester Pike, Suite 203Havertown, PA 19083-4500 · (610) 789-7767 · Fax (610) 789-7768
Phone(610) 789-7767
Fax(610) 789-7768
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 18, 2012
✔ NPI 1710919139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · OS012275
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
525 W CHESTER PIKE, Havertown, PA 19083
Open in Google Maps ↗

Other Identifiers 1

Medicaid1016353100001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eric J Lake Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 28, 2021 through April 28, 2027.

Opt-Out Effective DateApril 28, 2021
Opt-Out In Effect ThroughApril 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,335 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%379 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
43%1,289 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 940 patients
Patients tobacco: 96% · 940 patients
60%73 patients3/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
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.
Lower rates are better for this measure.
Patients 2+: 0% · 379 patients
2%379 patients4/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
95%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KYONG BIN PARK M.D.
Internal Medicine
525 W CHESTER PIKE, SUITE 102-B
HAVERTOWN, PA 19083
Delaware County (610) 853-9328
MISS MARYBETH DALEY P.T.
Physical Therapist
525 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 449-8400
LOLA R GEORG LPC
Counselor
525 W CHESTER PIKE, SUITE 205
HAVERTOWN, PA 19083
Delaware County (610) 644-6464
CATHERINE RUDOLPH PT
Physical Therapist
525 W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (610) 449-8400
RYOKO OHARA MA, LPC
Counselor (Professional)
525 W CHESTER PIKE, SUITE 205
HAVERTOWN, PA 19083
Delaware County (610) 644-6464
SANGBUMN KIM
Acupuncturist
525 W CHESTER PIKE, #103A
HAVERTOWN, PA 19083
Delaware County (610) 789-3678
CHARLES T MCANALLY
Physical Therapist (Orthopedic)
525 W CHESTER PIKE, SUITE 202
HAVERTOWN, PA 19083
Delaware County (610) 446-8410
MRS. GINA MARIE MARTINELLI NOBLE MPT, ATC
Physical Therapist
525 W CHESTER PIKE, SUITE 202
HAVERTOWN, PA 19083
Delaware County (610) 446-8410

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 Eric Lake's NPI number?

The NPI number for Eric Lake is 1710919139. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Eric Lake located?

Eric Lake practices at 525 W Chester Pike Suite 203, Havertown, PA 19083. The listed phone number is (610) 789-7767.

What is Eric Lake's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Eric Lake enrolled in Medicare?

No. Eric Lake has opted out of Medicare through April 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eric Lake was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.