Mountain Lake Plastic Surgery PLC
NPI 1699259648 · Plastic Surgery Physician · Colchester, VT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Lake Plastic Surgery PLC is a Plastic Surgery Physician organization in Colchester, VT (NPI 1699259648).
Provider details
- NPI number
- 1699259648
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Maclennan, Owner(802) 318-7787
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
7 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-17
- Last updated
- 2018-12-13
Frequently asked questions
- What is Mountain Lake Plastic Surgery PLC's NPI number?
- Mountain Lake Plastic Surgery PLC's National Provider Identifier (NPI) is 1699259648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Lake Plastic Surgery PLC?
- Mountain Lake Plastic Surgery PLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain Lake Plastic Surgery PLC located?
- Mountain Lake Plastic Surgery PLC's practice location on file with NPPES is 105 Westview Rd Ste 120, Colchester, VT 05446-8025.
- What is Mountain Lake Plastic Surgery PLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Lake Plastic Surgery PLC is (802) 318-7787.
- Does Mountain Lake Plastic Surgery PLC accept Medicare?
- Mountain Lake Plastic Surgery PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Lake Plastic Surgery PLC?
- The authorized official listed on Mountain Lake Plastic Surgery PLC's NPPES record is Susan Maclennan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Lake Plastic Surgery PLC's NPI active?
- Yes — Mountain Lake Plastic Surgery PLC's NPI (1699259648) is active in the NPPES registry as of the last update on 2018-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.