LANNY F CAMPBELL (MD) – Family Medicine Physician, NPI 1780790147

LANNY F CAMPBELL (MD) is a healthcare provider. based in Rupert, Idaho. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M-8031 (ID). The NPI Number for LANNY F CAMPBELL (MD) is 1780790147

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
LANNY F CAMPBELL (MD)
NPI
1780790147
Phone
(208) 434-8236
Address
1224 8th Street
Enumeration Date
21 August 2006
Last Update Date
25 August 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
20843604813167
Graduation Year
1997 (29 years ago)
PAC ID
4880678069
Group Practice PAC ID
7315908894
Professional Enrollment ID
I20040615001480
Address ID
ID833501535RU1308XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for LANNY F CAMPBELL (MD)

  • 1224 8th Street

    Rupert, ID 833501527

    Phone: (208) 434-8236

    Fax: (208) 436-6038

    Type: Location

  • 1224 8TH STREET

    RUPERT, ID 833501527

    Phone: (208) 434-8236

    Fax: (208) 436-6038

    Type: Mailing

  • 1308 8TH ST STE 1

    RUPERT, ID 833501535

    Phone: (208) 436-4322

    Fax: (208) 436-1312

    Type: Location

  • Cassia Regional Hospital, 1501, Hiland Avenue, Burley, Cassia County, Idaho, 83318, United States

    BURLEY, ID 833182682

    Phone: (208) 678-4444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $522.

Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($129).

Total Amount

$522

General + Research + Ownership

Payments

30

Total payment records

General Amount

$522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2004-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040615001480IFamily PracticeIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83350)

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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: 7315908894View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeTX
Nurse PractitionerID
General Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular SurgeryID
-ID
Family PracticeID
Emergency MedicineIL
Certified Registered Nurse Anesthetist (Crna)ID
Orthopedic SurgeryID
Physician AssistantID

Reviews

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Frequently asked questions

Where can patients find LANNY F CAMPBELL (MD)'s NPI?
You can confirm LANNY F CAMPBELL (MD) with NPI 1780790147; it appears in the national provider directory.
Is LANNY F CAMPBELL (MD)'s NPI currently valid?
The extract we use shows LANNY F CAMPBELL (MD) as active.
Does LANNY F CAMPBELL (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for LANNY F CAMPBELL (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for LANNY F CAMPBELL (MD)?
The page summarizes Rupert, Idaho for LANNY F CAMPBELL (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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