Kimberly Sue Lake, D.C.
NPI 1376594713ActiveIndividual· Chiropractor· Bettendorf, IA
Chiropractor (D.C.) with Kaminski Pain and Performance Care,p.C., practicing in Bettendorf, Iowa. Medicare paid $5,920 for services to 36 patients in 2024.
Overview
| NPI | 1376594713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Jan 23, 2025 |
| Certified by provider | Jan 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 06869 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 233 across 2 procedure codes |
| Paid by Medicare | $5,920 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Kaminski Pain and Performance Care,p.C.Davenport, IA · 3 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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