Lake Regional Medical Management Inc

A Medicare group practice based in Osage Beach, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577467323), with 48 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577467323The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
13In 6 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031122000076 MO Part B Supplier - Clinic/Group Practice 1639134158
O20111219000386 MO DME Supplier - Physician - Podiatry 1386926939

NPIs in this group 2

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
89.58 of 100Reported as group, on the record of 35 clinicians in this group
Promoting interoperability
100
Improvement activities
40
Cost
65.27

Clinicians 48

Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (2).

Sources for this page