MRS. ALYSON BUTLER LAKE (AU-D) – Audiologist, NPI 1669873931

MRS. ALYSON BUTLER LAKE (AU-D) is a healthcare provider. based in Forest, Virginia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU-D. They hold a License No. 2101002089 (VA). The NPI Number for MRS. ALYSON BUTLER LAKE (AU-D) is 1669873931

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALYSON BUTLER LAKE (AU-D)
NPI
1669873931
Phone
(434) 266-9898
Address
15243 FOREST RD STE D
Enumeration Date
5 September 2014
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4342669898
Graduation Year
2014 (12 years ago)
PAC ID
9032330360
Group Practice PAC ID
4486015203
Professional Enrollment ID
I20141029002122
Address ID
VA245514974FO15243RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

279 QUALIFIED AUDIOLOGIST in VA

Provider Addresses for MRS. ALYSON BUTLER LAKE (AU-D)

  • 15243 FOREST RD STE D

    FOREST, VA 245514974

    Phone: (434) 266-9898

    Fax: (434) 266-9848

    Type: Mailing

  • 2321 ATHERHOLT RD

    LYNCHBURG, VA 245012113

    Phone: (434) 947-3993

    Fax: (434) 847-2941

    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: 2014-10-29

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
I20141029002122IQualified AudiologistVATBD

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
92557Comprehensive hearing and speech recognition test5454$0
92567Test to assess middle ear function5454$0
View full utilization report →

Insurance plans in this area (ZIP 24551)

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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: 4486015203View full group profile
NameSpecialtyState
Qualified AudiologistVA

Reviews

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Frequently asked questions

How do payers reference MRS. ALYSON BUTLER LAKE (AU-D)?
For MRS. ALYSON BUTLER LAKE (AU-D), use NPI 1669873931 as the unique 10-digit identifier.
Is there an active status for MRS. ALYSON BUTLER LAKE (AU-D)?
For scheduling context, MRS. ALYSON BUTLER LAKE (AU-D) is shown as active in the registry.
What kind of doctor is MRS. ALYSON BUTLER LAKE (AU-D)?
MRS. ALYSON BUTLER LAKE (AU-D) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. ALYSON BUTLER LAKE (AU-D) located near Forest?
MRS. ALYSON BUTLER LAKE (AU-D) currently maps to Forest, Virginia in this extract.
When was this NPI issued?
Enumeration for MRS. ALYSON BUTLER LAKE (AU-D) is noted as September 5, 2014 where the registry provides it.

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