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Charissa Lake

NPI 1124479225ActiveIndividual· Surgery, Pediatric Surgery· Albuquerque, NM

Surgery, Pediatric Surgery in Albuquerque, New Mexico, licensed in NM, with an NPI issued in June 2016. Karl Storz Endoscopy-America reported $66.52 in payments in 2025, mostly food and beverage.

Overview

NPI1124479225
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 29, 2016
Last updated in NPPESSep 28, 2026
Certified by providerSep 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Pediatric Surgery Primary2086S0120XMD2026-0775NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$66.52 · 1 payment from 1 company
  • 2024$16.65 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Karl Storz Endoscopy-America$66.521

What the 2025 payments were for

  • Food and Beverage$66.52 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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