MARLYN A LAKE (MD) – Neurology Physician, NPI 1952405318
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,847 NEUROLOGY in FL
Provider Addresses for MARLYN A LAKE (MD)
1425 Malabar Rd NE
Palm Bay, FL 329072506
Phone: (321) 434-8226
Type: Location
608 S 9th St
Ste A
Leesburg, FL 347486390
Phone: (352) 360-1122
Fax: (352) 360-1123
Type: Location
1768 Business Center Dr Ste 100
Reston, VA 201905359
Phone: (800) 762-9244
Fax: (786) 672-6006
Type: Location
200 SE Hospital Ave
Stuart, FL 349942346
Phone: (772) 223-2395
Fax: (772) 223-2396
Type: Location
Martin Medical Center, 200, Southeast Hospital Avenue, Stuart, Martin County, Florida, 34995, United States
STUART, FL 349942346
Phone: (772) 223-2395
Fax: (772) 223-2396
Type: Location
380 HOSPITAL DR STE 370
MACON, GA 312178010
Phone: (478) 219-7735
Type: Location
Stuart, Martin County, Florida, United States
STUART, FL 349950417
Phone: (772) 223-2832
Fax: (772) 223-5646
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070711000828 | I | Neurology | FL | TBD |
| I20211111002823 | I | Neurology | GA | TBD |
| I20250222000068 | I | Neurology | MO | TBD |
| I20250222000089 | I | Neurology | MI | TBD |
| I20250225002087 | I | Neurology | NM | TBD |
| I20250225003562 | I | Neurology | TN | TBD |
| I20250319000399 | I | Neurology | VT | TBD |
| I20250321003634 | I | Neurology | VA | TBD |
| I20250417003088 | I | Neurology | SC | TBD |
| I20250708001015 | I | Neurology | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 191 | 190 | $0 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 56 | 56 | $0 |
| G0509 | Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth | 12 | 12 | $0 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32907)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | FL | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 61 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Infectious Disease, Internal Medicine | PA | |
| P S Y C H I A T R Y | CA | |
| N E U R O L O G Y | TX | |
| Internal Medicine, Nephrology | WI | |
| Internal Medicine | TX | |
| - | NY | |
| - | SC | |
| Hospitalist, Internal Medicine, Pulmonary Disease | SC | |
| Internal Medicine, Hospitalist | NE |
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