DR. LADD DANIEL LAKE (M.D.) – Diagnostic Radiology Physician, NPI 1023076874
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DIAGNOSTIC RADIOLOGY in NE
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Provider Addresses for DR. LADD DANIEL LAKE (M.D.)
Great Plains Health, 601, West Leota Street, North Platte, Lincoln County, Nebraska, 69101, United States
NORTH PLATTE, NE 691016525
Phone: (308) 696-7491
Fax: (308) 696-7432
Type: Location
PO BOX 362
NORTH PLATTE, NE 691030362
Phone: (866) 477-7013
Fax: (866) 902-2445
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aurinia Pharma U.S., Inc. | $15 |
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: 2004-08-28
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 |
|---|---|---|---|---|
| I20040828000132 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,192 | 888 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 467 | 432 | $0 |
| 70450 | Ct scan head or brain without contrast | 454 | 401 | $0 |
| 71046 | X-ray of chest, 2 views | 410 | 376 | $0 |
| 77063 | Screening 3d breast mammography | 357 | 357 | $0 |
Insurance plans in this area (ZIP 69101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NE | 71010 | X-ray of chest, 1 view, front | 931 | 726 |
| DIAGNOSTIC RADIOLOGY | NE | 71250 | CT scan chest | 156 | 151 |
| DIAGNOSTIC RADIOLOGY | NE | 73110 | X-ray of wrist, minimum of 3 views | 33 | 32 |
| DIAGNOSTIC RADIOLOGY | NE | 73140 | X-ray of fingers, minimum of 2 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | NE | 73630 | X-ray of foot, minimum of 3 views | 73 | 67 |
| DIAGNOSTIC RADIOLOGY | NE | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 136 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | NE | |
| U R O L O G Y | NE | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | IA | |
| P A T H O L O G Y | NE | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Sleep Medicine | IA | |
| Physician Assistant | NE | |
| Plastic And Reconstructive Surgery | NE | |
| Physician Assistant | NE |
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