Doctor profile · Federal record
Dr. Russell Lake, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Richmond Hill, GA
- NPI 1104081082
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
10055 Ford Avenue, Suite 3A
Richmond Hill, GA 31324
(912) 819-9601
fax (912) 819-9605 - Mailing address
-
836 E. 65Th Street, Suite 22
Savannah, GA 31405
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- October 19, 2021
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Georgia #75198 · South Carolina #31545
- Medicaid (2)
- GA #200480198D · GA #003213522B
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104081082. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,013
Distinct HCPCS
10
Medicare allowed
$137,532
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 602 | 325 | $120 | |
36415 |
Insertion of needle into vein for collection of blood sample | 480 | 273 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 271 | 168 | $85 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 181 | 181 | $121 | |
83036 |
Hemoglobin a1c level | 162 | 89 | $10 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 118 | 118 | $17 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 36 | 17 | $16 | |
81003 |
Automated urinalysis test | 28 | 27 | $2 | |
G0008 |
Administration of influenza virus vaccine | 24 | 24 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 22 | 22 | $72 |
In context: peer comparison
Among 3 peers in Richmond Hill Family Medicine Physician, average services per provider: 82. This provider delivers 25× the peer median.Open Payments
Industry payments received
All-time total
$551
Transactions
30
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 6 | $111.75 | |
| Abbvie INC. | 4 | $72.09 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $64.84 | |
| Pfizer INC. | 3 | $54.41 | |
| Novo Nordisk INC | 3 | $51.50 | |
| Amgen INC. | 2 | $45.25 | |
| Exact Sciences Corporation | 3 | $43.73 | |
| AstraZeneca Pharmaceuticals Lp | 2 | $37.35 | |
| GlaxoSmithKline, LLC. | 2 | $36.56 | |
| Esperion Therapeutics, INC. | 2 | $33.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,209
Patients
919
Total drug cost
$38,998
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 458 | 122 | $5,714 |
| Levothyroxine Sodium | Generic | 348 | 88 | $4,806 |
| Amlodipine Besylate | Generic | 343 | 102 | $2,084 |
| Omeprazole | Generic | 223 | 71 | $2,841 |
| Losartan Potassium | Generic | 220 | 58 | $3,109 |
| Lisinopril | Generic | 219 | 68 | $1,497 |
| Metformin Hcl | Generic | 214 | 60 | $1,396 |
| Rosuvastatin Calcium | Generic | 187 | 57 | $4,155 |
| Simvastatin | Generic | 177 | 51 | $1,338 |
| Hydrochlorothiazide | Generic | 171 | 45 | $926 |
Frequently asked questions
What is Dr. Russell Lake's medical specialty?
Dr. Russell Lake practices Family Medicine Physician in Richmond Hill, GA.
Where does Dr. Russell Lake practice?
Dr. Russell Lake practices at 10055 Ford Avenue, Richmond Hill, GA 31324. Office phone: 9128199601.
What is Dr. Russell Lake's NPI?
Dr. Russell Lake's National Provider Identifier (NPI) is 1104081082, issued by NPPES.
Does Dr. Russell Lake accept Medicare assignment?
Yes. Dr. Russell Lake accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Russell Lake commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.