JOHN RICHARD LAKE MD
NPI 1740360619
Internal Medicine - Gastroenterology in Minneapolis, MN

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, CLINIC 2A, MINNEAPOLIS, MN 55454(612) 626-6100 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Richard Lake Md NPPES

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

JOHN RICHARD LAKE MD (NPI 1740360619) is an individual gastroenterology provider in Minneapolis, Minnesota, licensed in Minnesota (40739) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of University Of Minnesota Medical School (1979).

NPPES Registry Identity

NPI1740360619
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN RICHARD LAKECredential: MD
Location AddressUNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, CLINIC 2AMinneapolis, MN 55454-1478
Mailing AddressUniversity Of Minnesota Physicians, 420 Delaware St Se, Mmc 36Minneapolis, MN 55455 · (612) 626-6100
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1979
Enumeration DateOctober 16, 2006
Last NPPES UpdateOctober 26, 2012
NPI 1740360619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MN · 40739
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
UNIVERSITY OF MINNESOTA PHYSICIANS, Minneapolis, MN 55454

Other Identifiers 15

Other03G121LAMN · Bcbs
Medicare ID-Type Unspecified100000335
Medicaid0506741IA
Medicaid480019200MN
Other1017135MN · Preferred One
Other114843MN · Fairview
Other784417Araz
Other29-00011MN · Medica-primary
Other2900020MN · Medica-choice
Medicare ID-Type Unspecified0055301MT · Mt Ma
Medicare ID-Type Unspecified100011847Railroad Medicare
Other124409MN · Ucare
OtherHP28838MN · Health Partners
Medicaid32420100WI
Medicare UPINA49561

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Richard 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 ID8224005285
PECOS Enrollment IDI20040910000652
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.

Areas of Expertise CMS Part B claims 2

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 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.
127 services102 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services83 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers22 claims720 services$1.41 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
16 suppliers301 claims27,630 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers63 claims3,660 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers30 claims5,520 services$0.57 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers114 claims14,412 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers12 claims1,860 services$0.90 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 12

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

Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH ST, F 282/2A WEST
MINNEAPOLIS, MN 55454
Orthopaedic Surgery
UNIVERSITY OF MINNESOTA PHYSICIANS, 2512 SOUTH 7TH STREET R-102
MINNEAPOLIS, MN 55454
Psychologist
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Psychologist (Clinical)
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
MINNEAPOLIS, MN 55454
Nurse Practitioner (Women's Health)
UNIVERSITY OF MINNESOTA PHYSICIANS, 606 24TH AVENUE SOUTH, SUITE 500
MINNEAPOLIS, MN 55454
Psychologist
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256, 2B W
MINNEAPOLIS, MN 55454
Orthopaedic Surgery
UNIVERSITY OF MINNESOTA PHYSICIANS, 2512 SOUTH 7TH STREET, FIRST FLOOR, R102
MINNEAPOLIS, MN 55454

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 John Lake's NPI number?

The NPI number for John Lake is 1740360619. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Lake located?

John Lake practices at University Of Minnesota Physicians 516 Delaware Street SE, Clinic 2A, Minneapolis, MN 55454. The listed phone number is (612) 626-6100.

What is John Lake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Lake enrolled in Medicare?

Yes. John Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Lake accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list John 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.

Is John Lake affiliated with any hospitals?

According to CMS data, John Lake is affiliated with Essentia Health Duluth, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital, M Health Fairview Woodwinds Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Lake was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.