DR. GARY J LAKE O.D.
NPI 1902884695
Optometrist in Middletown, NY

Q: What is Gary Lake's NPI number?

The NPI number for Gary Lake is 1902884695. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Gary Lake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Lake was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

16.69/100

CMS Quality Rating

200 MIDWAY PARK DR, MIDDLETOWN, NY 10940(845) 343-6919(845) 343-4545 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Gary J Lake O.d. NPPES

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

DR. GARY J LAKE O.D. (NPI 1902884695) is an individual optometrist in Middletown, New York, licensed in New York (T5072) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).

NPPES Registry Identity

NPI1902884695

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GARY J LAKECredential: O.D.

Location Address200 MIDWAY PARK DRMiddletown, NY 10940-2642

Mailing Address200 Midway Park DrMiddletown, NY 10940-2642 · (845) 343-6919 · Fax (845) 343-4545

Phone(845) 343-6919

Fax(845) 343-4545

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 1989

Enumeration DateJanuary 4, 2006

Last NPPES UpdateJune 25, 2010

✔ NPI 1902884695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · T5072

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

200 MIDWAY PARK DR, Middletown, NY 10940

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Other Identifiers 2

Medicare UPINC40861NY

Medicare PINC40861NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Gary J Lake O.d. 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 ID143342659

PECOS Enrollment IDI20131028000952

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 13

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.

539 services481 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

205 services203 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

169 services153 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.

123 services95 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

119 services102 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

91 services72 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

66 services66 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 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.

35 services30 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

18 services18 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

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.

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.

16.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

33.38

Improvement Activities

Other Providers at the Same Location NPPES 10

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

JOHN T SLOMA, LCSW, PC

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 4
MIDDLETOWN, NY 10940

Orange County (845) 341-1134

MR. GEORGE H BROWN LCSW

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 742-1316

SORIA SIDIQI

Speech-Language Pathologist

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 341-0666

MARA ANN KENT-LICARDI LCSWR

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 343-7274

LAURA SUE NIZEWITZ

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 1 WEST
MIDDLETOWN, NY 10940

Orange County (845) 343-7274

DR. JACK R NIZEWITZ O.D.

Optometrist

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 343-6919

NANCY HANNAH DAVIS-KESSLER

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 1
MIDDLETOWN, NY 10940

Orange County (845) 341-1134

MRS. ROBIN MELASKY SLOMA LCSW,LSSW

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 986-0298

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 Gary Lake's NPI number?

The NPI number for Gary Lake is 1902884695. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Gary Lake located?

Gary Lake practices at 200 Midway Park Dr, Middletown, NY 10940. The listed phone number is (845) 343-6919.

What is Gary Lake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gary Lake enrolled in Medicare?

Yes. Gary 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 Gary Lake accept?

Health plans from Providence Health Plan list Gary 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 Gary Lake was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.