Active NPI 1104848423 Individual Practitioner Male Practitioner

Dr. Mark Adrian Lake , MD

Dermatology • Lafayette, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Lake, MD is a certified Dermatology practicing in Lafayette, IN. With approximately 30 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1996, Dr. Lake delivers high-quality medical care to the local community at 15 EXECUTIVE DR.

Dr. Lake accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Executive Dr
Suite 4

Lafayette, IN 479053833

Telephone 7658383428

Fax 7658383440

Associated Practice Facility / Clinic

🏢 Lake Dermatology Inc. Facility NPI 1689898447

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Lafayette, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Lafayette, IN (235 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lake (30 Years) 30 Yrs

Lafayette Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,276	274	$15.00	$6.49
99213 Established patient office or other outpatient visit, typically 15 minutes	961	781	$104.00	$88.65
17000 Destruction of skin growth	497	423	$96.00	$57.47
11102 Tangential biopsy of single skin lesion	311	273	$132.00	$95.46
17110 Destruction of up to 14 skin growths	234	215	$120.00	$108.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	115	$64.00	$54.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$127.00	$107.54
11103 Biopsy of related skin growth, each additional growth	98	63	$80.00	$48.72
17004 Destruction of precancer skin growth, 15 or more growths	84	75	$295.00	$162.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$147.00	$126.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	55	42	$262.00	$158.40
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	28	22	$165.00	$131.25
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	28	22	$500.00	$389.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	24	$38.00	$22.74
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	21	20	$319.00	$184.20
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$82.00	$67.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,377	289	$15.00	$6.30
99213 Established patient office or other outpatient visit, typically 15 minutes	993	798	$104.00	$85.29
17000 Destruction of skin growth	526	432	$96.00	$55.74
11102 Tangential biopsy of single skin lesion	298	264	$132.00	$94.34
17110 Destruction of up to 14 skin growths	222	192	$120.00	$105.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	112	$64.00	$53.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$127.00	$104.92
11103 Biopsy of related skin growth, each additional growth	101	65	$80.00	$47.28
17004 Destruction of precancer skin growth, 15 or more growths	89	71	$295.00	$158.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	48	$38.00	$21.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	44	$147.00	$120.97
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	36	29	$319.00	$166.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	27	$262.00	$145.84
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$82.00	$68.08
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	16	$500.00	$384.60
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	16	$165.00	$130.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$350.00	$285.81
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$462.00	$131.18
69100 Biopsy of ear	14	14	$145.00	$71.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,407	311	$15.00	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	993	811	$104.00	$85.83
17000 Destruction of skin growth	538	459	$96.00	$54.39
11102 Tangential biopsy of single skin lesion	278	257	$132.00	$94.47
17110 Destruction of up to 14 skin growths	247	233	$120.00	$105.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	110	$64.00	$52.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$127.00	$105.64
11103 Biopsy of related skin growth, each additional growth	100	64	$80.00	$47.74
17004 Destruction of precancer skin growth, 15 or more growths	100	88	$295.00	$159.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	34	$38.00	$21.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	17	$323.00	$287.36
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$82.00	$68.81
69100 Biopsy of ear	16	16	$145.00	$77.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$147.00	$121.82
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$319.00	$175.83
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$340.00	$115.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,367	281	$15.00	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	905	751	$102.01	$86.37
17000 Destruction of skin growth	514	430	$96.00	$53.69
11102 Tangential biopsy of single skin lesion	328	288	$132.00	$96.57
17110 Destruction of up to 14 skin growths	279	237	$120.00	$106.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	178	$63.53	$53.22
11103 Biopsy of related skin growth, each additional growth	133	86	$80.00	$50.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$127.00	$106.86
17004 Destruction of precancer skin growth, 15 or more growths	93	83	$295.00	$157.05
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	29	24	$319.00	$171.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	24	$38.00	$21.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$144.22	$123.32
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$83.00	$69.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$262.00	$164.22
69100 Biopsy of ear	12	12	$145.00	$74.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$323.00	$280.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,424	320	$15.00	$5.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	775	711	$115.00	$104.10
17000 Destruction of skin growth	562	490	$96.00	$54.22
11102 Tangential biopsy of single skin lesion	312	288	$132.00	$91.36
99213 Established patient office or other outpatient visit, typically 15 minutes	217	187	$75.00	$71.35
17110 Destruction of up to 14 skin growths	214	198	$120.00	$104.48
11103 Biopsy of related skin growth, each additional growth	141	91	$80.00	$49.99
17004 Destruction of precancer skin growth, 15 or more growths	96	84	$295.00	$150.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	83	$55.00	$43.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$127.00	$102.36
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$91.00	$71.37
99201 New patient office or other outpatient visit, typically 10 minutes	33	33	$66.00	$42.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$323.00	$287.99
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	16	$319.00	$169.22
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$462.00	$134.20
69100 Biopsy of ear	17	16	$145.00	$68.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	15	$38.00	$21.99
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$387.00	$307.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,839	383	$15.00	$5.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	898	797	$115.00	$103.16
17000 Destruction of skin growth	643	547	$96.00	$54.09
11102 Tangential biopsy of single skin lesion	408	373	$132.00	$90.51
17110 Destruction of up to 14 skin growths	249	230	$120.00	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	220	200	$75.00	$70.00
11103 Biopsy of related skin growth, each additional growth	193	134	$80.00	$49.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	148	$55.00	$42.33
17004 Destruction of precancer skin growth, 15 or more growths	130	119	$295.00	$141.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$127.00	$102.13
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$91.00	$72.12
99201 New patient office or other outpatient visit, typically 10 minutes	53	53	$66.00	$43.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	44	$38.37	$21.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	33	$462.00	$132.99
69100 Biopsy of ear	20	18	$145.00	$71.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$323.00	$285.17
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	15	13	$319.00	$168.75
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$440.00	$404.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,772	358	$15.00	$4.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	781	695	$115.00	$101.21
17000 Destruction of skin growth	593	494	$96.00	$56.10
11100 Biopsy of single growth of skin and/or tissue	416	367	$132.00	$96.72
99213 Established patient office or other outpatient visit, typically 15 minutes	257	229	$75.00	$68.47
17110 Destruction of up to 14 skin growths	217	197	$120.00	$102.92
11101 Biopsy of each additional growth of skin and/or tissue	194	135	$80.00	$30.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	149	$55.00	$41.04
17004 Destruction of precancer skin growth, 15 or more growths	135	113	$295.00	$134.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$127.00	$100.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	64	$38.00	$20.18
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$91.00	$69.61
99201 New patient office or other outpatient visit, typically 10 minutes	45	45	$66.00	$41.65
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	30	$462.00	$131.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	23	$323.00	$274.61
69100 Biopsy of ear	15	15	$145.00	$75.02
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$319.00	$177.95
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	12	$440.00	$396.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,806	382	$15.00	$5.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	784	702	$115.00	$100.94
17000 Destruction of skin growth	626	519	$96.00	$55.94
11100 Biopsy of single growth of skin and/or tissue	435	382	$132.30	$94.54
11101 Biopsy of each additional growth of skin and/or tissue	218	151	$80.00	$30.01
99213 Established patient office or other outpatient visit, typically 15 minutes	209	188	$75.00	$68.40
17110 Destruction of up to 14 skin growths	182	174	$120.00	$102.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	137	$55.00	$40.74
17004 Destruction of precancer skin growth, 15 or more growths	126	108	$295.00	$139.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$127.00	$100.58
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$91.00	$70.31
99201 New patient office or other outpatient visit, typically 10 minutes	50	50	$66.00	$41.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	42	$38.00	$18.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$323.00	$281.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	27	$462.00	$131.71
69100 Biopsy of ear	23	21	$145.00	$77.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$340.00	$115.20

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01055166

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Barbara Osborn , LCSW

Social Worker - Clinical

NPI 1194756890

Licensed Clinical Social Worker

Madeline Oliver Sawyers

Marriage & Family Therapist

NPI 1407402589

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 13, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2008

Registered at 15 EXECUTIVE DR, SUITE 4, LAFAYETTE, IN 479053833 (Tel: 7658383428)

📍

Updated Business Mailing Address November 13, 2008

Registered at 15 EXECUTIVE DR, SUITE 4, LAFAYETTE, IN 479053833 (Tel: 7658383428)

👤

Provider Name / Credentials Updated November 13, 2008

Recorded as MARK LAKE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2008

Dermatology (License #01055166 in IN)

🟢

Initial NPI Registration & Enumeration July 24, 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: 1104848423

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 24, 2006

Last Update: July 23, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Executive Dr, Suite 4

Lafayette, IN 479053833

Phone: 7658383428

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.