DOUGLAS MICHAEL LACKOWSKI (M.D.) – Medical Oncology Physician, NPI 1831292861
Medical Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
171 HEMATOLOGY/ONCOLOGY in OR
Provider Addresses for DOUGLAS MICHAEL LACKOWSKI (M.D.)
15700 SW Greystone Ct
Beaverton, OR 970066011
Phone: (971) 262-9000
Fax: (971) 262-9010
Type: Location
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE CENTRAL
3600 N. INTERSTATE AVE
PORTLAND, OR 972271116
Phone:
Type: Mailing
Interstate Medical Office Central, 3600, North Interstate Avenue, Overlook, Portland, Metro, Multnomah County, Oregon, 97227, United States
INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 972271106
Phone: (503) 285-9321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080114000115 | I | Hematology/Oncology | OR | TBD |
| I20100127000867 | I | Hematology/Oncology | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 17 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 97006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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