JEREMY M LAKE (MD) – Gastroenterology Physician, NPI 1114909371
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
252 GASTROENTEROLOGY in OR
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Provider Addresses for JEREMY M LAKE (MD)
232, Southeast 7th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States
HILLSBORO, OR 97123
Phone: (503) 640-1614
Fax: (503) 681-0925
Type: Location
1400 SW 5TH AVE STE 500
PORTLAND, OR 972015537
Phone:
Type: Mailing
333 SE 7TH AVE STE 5200
HILLSBORO, OR 971234182
Phone: (503) 681-4310
Fax: (503) 681-1989
Type: Location
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boston Scientific Corporation ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $25 |
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: 2004-10-05
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 |
|---|---|---|---|---|
| I20041005000689 | I | Gastroenterology | OR | 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 |
|---|---|---|---|---|
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 61 | 51 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 55 | 54 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 38 | 35 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 37 | 36 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 32 | 32 | $0 |
Insurance plans in this area (ZIP 97123)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | NC | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | NY | |
| Family Practice | OR | |
| Internal Medicine | NJ | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
Reviews
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