KAYSE LEE LAKE (DPM) – Podiatrist, NPI 1366686800

KAYSE LEE LAKE (DPM) is a healthcare provider. based in Durango, Colorado. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD348 (NM). The NPI Number for KAYSE LEE LAKE (DPM) is 1366686800

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KAYSE LEE LAKE (DPM)
NPI
1366686800
Phone
(970) 253-5303
Address
1266 ESCALANTE DR
Enumeration Date
28 April 2009
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5055986000
Graduation Year
2008 (18 years ago)
PAC ID
0941473243
Group Practice PAC ID
9931349347
Professional Enrollment ID
I20140902001499
Address ID
NM874019632FA800XXTRLX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:17State licenses:5Digital endpointsOther names

257 PODIATRY in CO

Provider Addresses for KAYSE LEE LAKE (DPM)

  • 1266 ESCALANTE DR

    SUITE 201

    DURANGO, CO 81303

    Phone: (970) 253-5303

    Fax: (970) 259-3510

    Type: Location

  • 2700 Farmington Ave Bldg C-1

    Farmington, NM 874014550

    Phone: (505) 218-7622

    Type: Location

  • Animas Surgical Hospital, 575, Rivergate Lane, Durango, La Plata County, Colorado, 81301, United States

    SUITE 95

    DURANGO, CO 813017487

    Phone: (970) 259-5303

    Fax: (970) 253-3510

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: MIMEDX Group, Inc. ($33).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130709000055IPodiatryCOTBD
I20140902001499IPodiatryNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87798Detection test by nucleic acid for organism, amplified probe technique4,771324$0
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique1,134331$0
Q4262Dual layer impax membrane, per square centimeter88016$0
87481Detection test for candida species (yeast), amplified probe technique736325$0
99213Established patient office or other outpatient visit, 20-29 minutes554255$0
View full utilization report →

Insurance plans in this area (ZIP 81303)

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Provider's Procedures

KAYSE LEE LAKE (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9732

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931349347View full group profile
NameSpecialtyState
P O D I A T R YOH
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAYSE LEE LAKE (DPM)?
KAYSE LEE LAKE (DPM) — NPI 1366686800 — is the standard way to identify this listing.
Does CMS list KAYSE LEE LAKE (DPM) as active?
Yes — KAYSE LEE LAKE (DPM) is active in the NPI listing used on this page.
What healthcare role does KAYSE LEE LAKE (DPM) hold?
Scheduling teams often label KAYSE LEE LAKE (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for KAYSE LEE LAKE (DPM)?
KAYSE LEE LAKE (DPM)'s geographic hint is Durango, Colorado in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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