MATTHEW BOAZ LAKE MD
NPI 1992192520
Anesthesiology in Lebanon, NH
About Matthew Boaz Lake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BOAZ LAKE MD (NPI 1992192520) is an individual anesthesiology provider in Lebanon, New Hampshire, licensed in Virginia (0101269652) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Boaz 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, Virginia enrollment
- 631 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Regional Medical Center
Acute Care Hospitals · Newport News, VABon Secours St Marys Hospital
Acute Care Hospitals · Richmond, VARiverside Doctors' Hospital Of Williamsburg
Acute Care Hospitals · Williamsburg, VAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
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 Matthew Lake's NPI number?
The NPI number for Matthew Lake is 1992192520. It was assigned to this individual provider in the NPPES registry on April 21, 2015.
Where is Matthew Lake located?
Matthew Lake practices at 1 Medical Center Dr Dhmc Dept. Of Anesthesiology, Lebanon, NH 03756. The listed phone number is (603) 650-6177.
What is Matthew Lake's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Matthew Lake enrolled in Medicare?
Yes. Matthew 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.
Which organizations bill Medicare for Matthew Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Lake reassigns Medicare benefits to 2 organizations: American Anesthesiology Of Virginia, PC (Leesburg, VA) and Northstar Anesthesia Of Virginia, LLC (Alexandria, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Lake accept?
Health plans from Oscar Health, Oscar Insurance Company and Taro Health list Matthew 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 Matthew Lake affiliated with any hospitals?
According to CMS data, Matthew Lake is affiliated with Riverside Regional Medical Center, Bon Secours St Marys Hospital and Riverside Doctors' Hospital Of Williamsburg.
When was this NPI record last updated?
The NPPES record for Matthew Lake was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Matthew Boaz Lake, MD · NPI 1992192520
Anesthesiology physician in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since April 21, 2015.
## Identity
- **NPI:** 1992192520 (Entity type: Individual)
- **Enumerated:** April 21, 2015
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 0101269652 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, DHMC DEPT. OF ANESTHESIOLOGY, Lebanon, NH 03756-1000
- **Phone:** (603) 650-6177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): American Anesthesiology Of Virginia, PC (NPI 1053675199, Leesburg, VA); Northstar Anesthesia Of Virginia, LLC (NPI 1194488791, Alexandria, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992192520) · Data from the CMS NPPES public registry.