NPIMap

Lakeside Orthopedic Institute LLC

A Medicare group practice based in Lake Havasu City, AZ: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 1052316445), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052316445The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice, Part B Supplier - Portable X-Ray Supplier
Enrolled in
AZ, NV
Enrollments
5
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20060918000307 AZ Part B Supplier - Clinic/Group Practice 1275564916
O20100930059486 AZ DME Supplier - Physician - General Practice 1679764229
O20230908001344 AZ Part B Supplier - Portable X-Ray Supplier 1548936164
O20230906000868 NV Part B Supplier - Clinic/Group Practice 1679764229
O20240215000245 AZ DME Supplier - Multi-Specialty - Physician 1245965581

NPIs in this group 11

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
84.06 of 100Reported as group, on the record of 20 clinicians in this group
Quality
68.27
Promoting interoperability
100
Improvement activities
40
Cost
78.59

Clinicians 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (13).

Sources for this page