ALEXANDER DAVID LAKE (DO) – Gastroenterology Physician, NPI 1720575418

ALEXANDER DAVID LAKE (DO) is a healthcare provider. based in Hudson, Florida. specializing in GASTROENTEROLOGY, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS16856 (FL). The NPI Number for ALEXANDER DAVID LAKE (DO) is 1720575418

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER DAVID LAKE (DO)
NPI
1720575418
Phone
(727) 819-2966
Address
14000 FIVAY RD
Enumeration Date
18 April 2018
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136157260
Graduation Year
2018 (8 years ago)
PAC ID
0143551580
Group Practice PAC ID
2365679057
Professional Enrollment ID
I20210907000727
Address ID
FL336133905TA13901BLVD500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

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Provider Addresses for ALEXANDER DAVID LAKE (DO)

  • Regional Medical Center Bayonet Point, 14000, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Type: Mailing

  • 13067 N TELECOM PKWY

    TEMPLE TERRACE, FL 336370926

    Phone: (813) 779-6303

    Fax: (786) 868-0012

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($73).

Total Amount

$169

General + Research + Ownership

Payments

7

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2021-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210907000727IGastroenterologyFLTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5246$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 34667)

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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: 2365679057View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-FL
Hospitalist, Internal MedicineFL
-FL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineFL
-FL

Reviews

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Frequently asked questions

Can I cross-check ALEXANDER DAVID LAKE (DO) using NPI 1720575418?
NPI 1720575418 belongs to ALEXANDER DAVID LAKE (DO); compare other details if you need extra assurance.
Active or inactive — what applies to ALEXANDER DAVID LAKE (DO)?
You should see ALEXANDER DAVID LAKE (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for ALEXANDER DAVID LAKE (DO)?
At a glance, ALEXANDER DAVID LAKE (DO) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is ALEXANDER DAVID LAKE (DO) associated with Hudson?
Public fields place ALEXANDER DAVID LAKE (DO) around Hudson, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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