JOHN LACKEY MD
NPI 1063456648
Specialist in Pocatello, ID

NPI Status: Active since June 15, 2006

Contact Information

500 S 11TH AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 232-3103
Fax: (208) 232-0756

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About JOHN LACKEY

This page provides the complete NPI Profile along with additional information for John Lackey, a provider established in Pocatello, Idaho with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1063456648 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number M3873 (ID). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1063456648
Provider Name
JOHN LACKEY MD
Gender
Male
Entity Type
Individual
Location Address
500 S 11TH AVE POCATELLO, ID 83201
Location Phone
(208) 232-3103
Location Fax
(208) 232-0756
Mailing Address
700 CANYON DR POCATELLO, ID 83204
Mailing Phone
(208) 234-1921
Is Sole Proprietor?
No
Enumeration Date
06-15-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
M3873
License State
ID
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1112742MEDICARE ID-TYPE UNSPECIFIED (04)ID 
C36869MEDICARE UPIN (02)ID 
002487500MEDICAID (05)ID 

Medicare Participation & PECOS Enrollment Status

John Lackey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Automated urinalysis test

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

This service was performed 21 times for 18 patients

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 32 times for 30 patients

Blood test, lipids (cholesterol and triglycerides)

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

This service was performed 18 times for 18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 44 times for 36 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 14 times for 11 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 34 times for 30 patients

Hemoglobin a1c level

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

This service was performed 27 times for 22 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 50 times for 39 patients

Ldl cholesterol level

The LDL cholesterol level is a test that measures the amount of low-density lipoprotein (LDL) in your blood. LDL is often referred to as 'bad cholesterol' because high levels can lead to heart disease. Regular testing helps monitor and manage your heart health.

This service was performed 11 times for 11 patients

Reviews for JOHN LACKEY MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063456648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 5 + 1 + 2 + 6 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063456648.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
500 S 11TH AVE, SUITE 305
POCATELLO, ID 83201
Internal Medicine (Pulmonary Disease)
500 S 11TH AVE, SUITE 305
POCATELLO, ID 83201
Psychiatry & Neurology (Psychiatry)
500 S 11TH AVE
POCATELLO, ID 83201
Neurological Surgery
500 S 11TH AVE, SUITE 504
POCATELLO, ID 83201
Radiology (Radiation Oncology)
500 S 11TH AVE, SUITE 101
POCATELLO, ID 83201
Allergy & Immunology (Allergy)
500 S 11TH AVE, SUITE 202
POCATELLO, ID 83201
Advanced Practice Midwife
500 S 11TH AVE, SUITE 402
POCATELLO, ID 83201
Nurse Practitioner (Women's Health)
500 S 11TH AVE, SUITE 4G
POCATELLO, ID 83201
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Surgery
500 S 11TH AVE, STE 501
POCATELLO, ID 83201
Counselor (Mental Health)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Psychologist (Clinical)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Psychologist (Clinical)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Radiology (Radiation Oncology)
500 S 11TH AVE, SUITE 101
POCATELLO, ID 83201
Rehabilitation Counselor
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Dermatology
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Durable Medical Equipment & Medical Supplies
500 S 11TH AVE, STE 204
POCATELLO, ID 83201
Physician Assistant
500 S 11TH AVE, SUITE 503
POCATELLO, ID 83201
Urology
500 S 11TH AVE, SUITE 301
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063456648, enumerated as an "individual" on June 15, 2006.

The provider is located at 500 S 11TH AVE POCATELLO, ID 83201 and the phone number is (208) 232-3103.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.