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Deactivated NPI 1831158666 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Henry Lake , MD

Specialist • Columbus, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Lake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2006
NPI Deactivation Date May 30, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lake, MD was a registered Specialist practicing in Columbus, GA. Throughout an active medical career spanning 12 years, Dr. Lake provided care at the practice location at 1900 10TH AVE until profile deactivation on 2018-05-30.

Historical Medicare Part B clinical services included injection, testosterone cypionate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1900 10th Ave
Suite 310

Columbus, GA 319013600

Telephone 7063230990
Fax 7063200209
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.6 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
29 Specialists

Practicing in Columbus, GA (979 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg
26,600 20 $0.15 $0.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
206 20 $40.00 $18.63
99213 Established patient office or other outpatient visit, typically 15 minutes
113 102 $90.00 $67.20
81000 Manual urinalysis test with examination using microscope, non-automated
110 98 $15.00 $3.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
78 20 $600.00 $207.52
J0725 Injection, chorionic gonadotropin, per 1,000 usp units
73 15 $20.00 $19.78
36415 Insertion of needle into vein for collection of blood sample
58 57 $10.00 $2.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
26 20 $75.00 $27.67
74018 X-ray of abdomen, 1 view
15 13 $75.00 $24.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $115.00 $100.08

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 23076

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1982664140

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 30, 2018

Record deactivated on May 30, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1900 10TH AVE, SUITE 310, COLUMBUS, GA 319013600 (Tel: 7063230990)

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Updated Business Mailing Address July 08, 2007

Registered at 1900 10TH AVE, SUITE 310, COLUMBUS, GA 319013600 (Tel: 7063230990)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL LAKE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #23076 in GA)

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Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831158666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: July 08, 2007
Deactivation Date: May 30, 2018

Mailing Address

1900 10th Ave, Suite 310

Columbus, GA 319013600

Phone: 7063230990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.