Lake Country Pediatrics Sc
NPI 1801849963 · Pediatrics Physician · Oconomowoc, WI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Country Pediatrics Sc is a Pediatrics Physician organization in Oconomowoc, WI (NPI 1801849963).
Provider details
- NPI number
- 1801849963
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Moyer, Dr.(262) 569-7100
- License
- 35710 (WI)
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Country Physicians
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2011-08-15
Frequently asked questions
- What is Lake Country Pediatrics Sc's NPI number?
- Lake Country Pediatrics Sc's National Provider Identifier (NPI) is 1801849963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Country Pediatrics Sc?
- Lake Country Pediatrics Sc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Country Pediatrics Sc located?
- Lake Country Pediatrics Sc's practice location on file with NPPES is 970 S Silver Lake St, Oconomowoc, WI 53066-3802.
- What is Lake Country Pediatrics Sc's phone number?
- The practice phone number listed in the NPPES registry for Lake Country Pediatrics Sc is (262) 569-7100.
- Does Lake Country Pediatrics Sc accept Medicare?
- Lake Country Pediatrics Sc 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 Lake Country Pediatrics Sc?
- The authorized official listed on Lake Country Pediatrics Sc's NPPES record is Gregory Moyer, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Country Pediatrics Sc's NPI active?
- Yes — Lake Country Pediatrics Sc's NPI (1801849963) is active in the NPPES registry as of the last update on 2011-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.