Marcy Lake, D.O.
NPI 1174550123 · Family Medicine Physician · Beaverton, OR
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcy Lake, D.O. is a Family Medicine Physician provider in Beaverton, OR (NPI 1174550123).
Provider details
- NPI number
- 1174550123
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- DO173074 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 78 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 182 | 63 |
| Losartan Potassium | 169 | 56 |
| Amlodipine Besylate | 106 | 31 |
| Lisinopril | 105 | 42 |
| Levothyroxine Sodium | 101 | 32 |
| Oxycodone Hcl | 89 | 19 |
| Simvastatin | 88 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2015-12-30
Frequently asked questions
- What is Marcy Lake's NPI number?
- Marcy Lake's National Provider Identifier (NPI) is 1174550123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcy Lake's specialty?
- Marcy Lake is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marcy Lake located?
- Marcy Lake's practice location on file with NPPES is 4855 Sw Western Ave, Beaverton, OR 97005-3460.
- What is Marcy Lake's phone number?
- The practice phone number listed in the NPPES registry for Marcy Lake is (503) 813-2000.
- Does Marcy Lake accept Medicare?
- Marcy Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcy Lake's NPI active?
- Yes — Marcy Lake's NPI (1174550123) is active in the NPPES registry as of the last update on 2015-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.