Jared R. Lake, M.D.
NPI 1720286255ActiveIndividual· Anesthesiology· Murray, UT
Anesthesiology (M.D.) in Murray, Utah, trained at Medical College of Wisconsin (class of 2007). Medicare paid $22,171 for services to 101 patients in 2024.
Overview
| NPI | 1720286255 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 5, 2007 |
| Last updated in NPPES | Dec 5, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 7890667-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 101 |
|---|---|
| Services billed | 140 across 31 procedure codes |
| Paid by Medicare | $22,171 |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Anesthesiology |
Medical group
- Mountain West Anesthesia LLCProvo, UT · 271 clinicians
Hospital affiliations
- Intermountain Health McKay-Dee HospitalOgden, UT
- Lds HospitalSalt Lake City, UT
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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