JONATHAN L LAKE PAC NPI 1346283801

NPI Details

Jonathan L Lake, PAC is a surgical physician assistant in Charlotte, NC with 24 years of experience. Jonathan L Lake, PAC NPI is 1346283801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204-109
Phone: (704) 376-1605
Fax: (704) 335-8448

The NPI 1346283801 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Fusion of additional segment of spine (HCPCS:22614)
• Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
• Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Fusion of spine in lower back (HCPCS:22612)
• Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment (HCPCS:63045)
• Spinal fusion (HCPCS:NAN02)
• Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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