DR. KATRINA LAKE (MD) – Obstetrics & Gynecology Physician, NPI 1679866305
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,925 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. KATRINA LAKE (MD)
18503 BELLAMY RD
COUNTRY CLUB HILLS, IL 604785279
Phone: (708) 308-8974
Type: Mailing
233 W JOE ORR RD
CHICAGO HEIGHTS, IL 604111744
Phone: (877) 692-8686
Type: Location
233 W Joe Orr Rd
Chicago Heights, IL 604111744
Phone: (877) 692-8686
Type: Location
35318 EAGLE WAY
CHICAGO, IL 606781353
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 604611010
Phone: (708) 679-2160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $28,740.
Total Amount is formed as General ($28,740) + Research ($0) + Ownership ($0) = $28,740.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($22,807).
Total Amount
$28,740
General + Research + Ownership
Payments
67
Total payment records
General Amount
$28,740
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $22,807 |
| Intuitive Surgical, Inc. | $5,032 |
| Sumitomo Pharma America, Inc. | $254 |
| Hologic Sales and Service, LLC | $228 |
| Exeltis, USA Inc. | $101 |
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: 2017-01-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170131000010 | I | Obstetrics/Gynecology | IL | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 77 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 62 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 66 | 66 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN | |
| Radiation Oncology | IL | |
| - | IN | |
| - | IN |
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