ROBERT JON LACKAMP (MD) – Diagnostic Radiology Physician, NPI 1356347892

ROBERT JON LACKAMP (MD) is a healthcare provider. based in Edinburg, Texas. specializing in DIAGNOSTIC RADIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R6792 (MO). The NPI Number for ROBERT JON LACKAMP (MD) is 1356347892

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JON LACKAMP (MD)
NPI
1356347892
Phone
(952) 595-1301
Address
5501 S MCCOLL RD
Enumeration Date
21 June 2005
Last Update Date
10 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9563622171
Graduation Year
1973 (53 years ago)
PAC ID
8729074141
Group Practice PAC ID
1153409867
Professional Enrollment ID
I20070129000438
Address ID
TX785395503ED5501XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for ROBERT JON LACKAMP (MD)

  • Doctors Hospital at Renaissance, 5501, South McColl Road, Edinburg, Hidalgo County, Texas, 78539, United States

    STE 500

    EDINBURG, TX 785395503

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Mailing address matches the actual address.

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: 2007-01-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421001796IDiagnostic RadiologyMOTBD
I20070129000438IDiagnostic RadiologyTXTBD

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
77067Screening mammography936936$0
77063Screening 3d breast mammography929929$0
71250Ct scan of chest without contrast4645$0
74177Ct scan of abdomen and pelvis with contrast3333$0
74176Ct scan of abdomen and pelvis without contrast2323$0
View full utilization report →

Insurance plans in this area (ZIP 78539)

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Provider's Procedures

ROBERT JON LACKAMP (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front353253
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views4026
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views131116
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views6151
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast6960

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: 1153409867View full group profile
NameSpecialtyState
Internal MedicineTX
Physician AssistantTX
-TX
Diagnostic RadiologyOK
Family PracticeTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyIL
Otolaryngology, Pediatric MedicineTX
Physician AssistantTX

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Frequently asked questions

Is there an official ID for ROBERT JON LACKAMP (MD) in U.S. healthcare records?
The official identifier for ROBERT JON LACKAMP (MD) is NPI 1356347892.
Active or inactive — what applies to ROBERT JON LACKAMP (MD)?
You should see ROBERT JON LACKAMP (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to ROBERT JON LACKAMP (MD)?
ROBERT JON LACKAMP (MD)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT JON LACKAMP (MD) associated with Edinburg?
Public fields place ROBERT JON LACKAMP (MD) around Edinburg, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.