EVIN LACKORE M.D.
NPI 1063862779
Pediatrics in Omaha, NE

Q: What is Evin Lackore's NPI number?

The NPI number for Evin Lackore is 1063862779. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Evin Lackore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Evin Lackore was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2016PECOS Enrolled

UNMC PEDIATRICS RESIDENCY PROGRAM, 982185 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198(402) 559-5380 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evin Lackore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVIN LACKORE M.D. (NPI 1063862779) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (7646) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063862779

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEVIN LACKORECredential: M.D.

Location AddressUNMC PEDIATRICS RESIDENCY PROGRAM, 982185 NEBRASKA MEDICAL CENTEROmaha, NE 68198

Mailing Address7045 S Harrison Hills Dr Apt 208La Vista, NE 68128-7709 · (402) 631-3689

Phone(402) 559-5380

Sole ProprietorYes

Enumeration DateJune 14, 2016

✔ NPI 1063862779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 7646

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

UNMC PEDIATRICS RESIDENCY PROGRAM, Omaha, NE 68198

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evin Lackore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evin Lackore's NPI number?

The NPI number for Evin Lackore is 1063862779. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Evin Lackore located?

Evin Lackore practices at Unmc Pediatrics Residency Program 982185 Nebraska Medical Center, Omaha, NE 68198. The listed phone number is (402) 559-5380.

What is Evin Lackore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Evin Lackore enrolled in Medicare?

Yes. Evin Lackore is registered in the Medicare PECOS enrollment system.

What insurance does Evin Lackore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Evin Lackore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evin Lackore was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.