KEVIN C LAKE RPA
NPI 1841253341
Physician Assistant - Medical in Syracuse, NY

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
475 IRVING AVE, SUITE 418, SYRACUSE, NY 13210(315) 426-0190(315) 426-0192 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin C Lake Rpa NPPES

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

KEVIN C LAKE RPA (NPI 1841253341) is an individual medical provider in Syracuse, New York, licensed in New York (010298) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1841253341
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN C LAKECredential: RPA
Location Address475 IRVING AVE, SUITE 418Syracuse, NY 13210-1756
Mailing Address475 Irving Ave, Suite 418Syracuse, NY 13210-1756 · (315) 426-0190 · Fax (315) 426-0192
Fax(315) 426-0192
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 18, 2009
NPI 1841253341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 010298
475 IRVING AVE, Syracuse, NY 13210

Other Identifiers 2

Medicare ID-Type UnspecifiedPA1227NY
Medicare UPINQ39024NY

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

Kevin C Lake Rpa 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 ID8820044233
PECOS Enrollment IDI20050329001046
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 8

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
334 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
319 services219 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
136 services105 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
106 services80 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
97 services91 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
51 services38 patients

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers12 claims12 services$102.51 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 20

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

Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Ophthalmology
475 IRVING AVE, STE 420
SYRACUSE, NY 13210
Pediatrics
475 IRVING AVE, SUITE 210
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 204
SYRACUSE, NY 13210
Neurological Surgery
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Nurse Practitioner (Family)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210

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 Kevin Lake's NPI number?

The NPI number for Kevin Lake is 1841253341. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Kevin Lake located?

Kevin Lake practices at 475 Irving Ave Suite 418, Syracuse, NY 13210. The listed phone number is (315) 426-0190.

What is Kevin Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Lake enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Lake was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.