Doctor profile · Federal record
Dr. Mark Lake, M.D.
Dermatology Physician (CMS: Dermatology) · Lafayette, IN
- NPI 1104848423
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15 Executive Dr, Suite 4
Lafayette, IN 479053833
(765) 838-3428
fax (765) 838-3440
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 23, 2019
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Indiana #01055166
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104848423. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,133
Distinct HCPCS
10
Medicare allowed
$251,353
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 1,377 | 289 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 993 | 798 | $85 | |
17000 |
Destruction of precancer skin growth, 1 growth | 526 | 432 | $56 | |
11102 |
Biopsy of related skin growth, first growth | 298 | 264 | $94 | |
17110 |
Destruction of skin growth, 1-14 growths | 222 | 192 | $105 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 119 | 119 | $105 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 119 | 112 | $53 | |
11103 |
Biopsy of related skin growth, each additional growth | 101 | 65 | $47 | |
17004 |
Destruction of precancer skin growth, 15 or more growths | 89 | 71 | $158 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 53 | 48 | $22 |
In context: peer comparison
Among 3 peers in Lafayette Dermatology Physician, average services per provider: 231. This provider delivers 18× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
578
Patients
364
Total drug cost
$77,152
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ketoconazole | Generic | 118 | 59 | $2,374 |
| Triamcinolone Acetonide | Generic | 100 | 77 | $806 |
| Doxycycline Hyclate | Generic | 73 | 39 | $3,389 |
| Cephalexin | Generic | 66 | 45 | $129 |
| Fluocinonide | Generic | 50 | 34 | $2,631 |
| Ciclopirox (Ciclopirox Olamine) | Brand | 47 | 26 | $1,100 |
| Mupirocin | Generic | 41 | 38 | $431 |
| Hydrocortisone | Generic | 26 | 18 | $150 |
| Metronidazole | Generic | 26 | 17 | $1,835 |
| Clobetasol Propionate | Generic | 17 | 11 | $2,003 |
Frequently asked questions
What is Dr. Mark Lake's medical specialty?
Dr. Mark Lake practices Dermatology Physician in Lafayette, IN.
Where does Dr. Mark Lake practice?
Dr. Mark Lake practices at 15 Executive Dr, Lafayette, IN 479053833. Office phone: 7658383428.
What is Dr. Mark Lake's NPI?
Dr. Mark Lake's National Provider Identifier (NPI) is 1104848423, issued by NPPES.
Does Dr. Mark Lake accept Medicare assignment?
Yes. Dr. Mark Lake accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Lake commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.