MR. ROBERT JORDAN LAKKO (D.O.) – Family Medicine Physician, NPI 1174756340

MR. ROBERT JORDAN LAKKO (D.O.) is a healthcare provider. based in Coeur d alene, Idaho. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. O-0886 (ID). The NPI Number for MR. ROBERT JORDAN LAKKO (D.O.) is 1174756340

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT JORDAN LAKKO (D.O.)
NPI
1174756340
Phone
(208) 292-0292
Address
PO BOX 3648
Enumeration Date
3 September 2009
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
2087841227
Graduation Year
2009 (17 years ago)
PAC ID
2062648132
Group Practice PAC ID
6103739107
Professional Enrollment ID
I20251204001682
Address ID
ID838372023KE25XXXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

2,259 FAMILY PRACTICE in AZ

Provider Addresses for MR. ROBERT JORDAN LAKKO (D.O.)

  • PO BOX 3648

    COEUR D ALENE, ID 838162522

    Phone: (208) 292-0292

    Type: Mailing

  • 3269 N STOCKTON HILL RD

    KINGMAN, AZ 864093619

    Phone: (928) 681-8577

    Type: Location

  • 1090 W Park Pl

    Coeur D Alene, ID 838142785

    Phone: (208) 292-0292

    Type: Location

  • North Park Place, Blackwell, Coeur d'Alene, Kootenai County, Idaho, 83815, United States

    COEUR D ALENE, ID 838142785

    Phone: (208) 292-0292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,269.

Total Amount is formed as General ($1,269) + Research ($0) + Ownership ($0) = $1,269.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($326).

Total Amount

$1,269

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151007000620IFamily PracticeIDTBD
I20250116001854IFamily PracticeVATBD
I20250808003740IFamily PracticeIATBD
I20250819003176IFamily PracticeORTBD
I20250923002090IFamily PracticeAZTBD
I20251114000580IFamily PracticeKSTBD
I20251204001682IFamily PracticeWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6937$0
99238Hospital discharge day management, 30 minutes or less5450$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5128$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3534$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 83816)

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Provider's Procedures

MR. ROBERT JORDAN LAKKO (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEID81002Urinalysis, manual test4234
FAMILY MEDICINEID85610Blood test, clotting time5320

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103739107View full group profile
NameSpecialtyState
Mental Health CounselorID
Nurse PractitionerID
Certified Registered Nurse Anesthetist (Crna)NE
H O S P I T A L I S TNV
-CA
Nurse PractitionerID
Emergency MedicineID
Clinical Social WorkerID
Family PracticeOR
Emergency MedicineCA

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Frequently asked questions

What number should I use to identify MR. ROBERT JORDAN LAKKO (D.O.) for billing?
Administrative and clinical systems typically use NPI 1174756340 for MR. ROBERT JORDAN LAKKO (D.O.).
Does the public listing show MR. ROBERT JORDAN LAKKO (D.O.) as active?
MR. ROBERT JORDAN LAKKO (D.O.)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. ROBERT JORDAN LAKKO (D.O.)?
NPPES ties MR. ROBERT JORDAN LAKKO (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. ROBERT JORDAN LAKKO (D.O.) tied to Coeur D Alene, Idaho?
If you are local to Coeur D Alene, Idaho, MR. ROBERT JORDAN LAKKO (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.