MARK W LAHTINEN DO
NPI 1285291740
Family Medicine in Spokane, WA

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
220 E ROWAN AVE STE 300, SPOKANE, WA 99207(509) 498-3554(509) 489-3558 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, May 21, 2019 (2 updates tracked since 2019).

About Mark W Lahtinen Do NPPES

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

MARK W LAHTINEN DO (NPI 1285291740) is an individual family medicine provider in Spokane, Washington, licensed in Washington (OP61086567) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Rocky Vista University College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1285291740
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK W LAHTINENCredential: DO
Location Address220 E ROWAN AVE STE 300Spokane, WA 99207-1203
Mailing Address220 E Rowan Ave Ste 300Spokane, WA 99207-1203 · (509) 489-3554 · Fax (509) 489-3558
Fax(509) 489-3558
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
NPI 1285291740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP61086567
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 E ROWAN AVE STE 300, Spokane, WA 99207

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark W Lahtinen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991031577
PECOS Enrollment IDI20220928002169
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
284 services121 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
94 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Hemoglobin a1c level 83036
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.
22 services17 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
20 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99207 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%212 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
90%93 patients4/55-star benchmark: 100%
Breast Cancer Screening
2%171 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%289 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
20%20 patients
Colorectal Cancer Screening
4%426 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
82%181 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%97 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%97 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,342 patients4/55-star benchmark: 100%
e-Prescribing
100%5,838 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%266 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%896 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
19%650 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,963 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 723 patients
Patients screened: 100% · 723 patients
92%136 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,174 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
54%199 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 281 patients
Patients totalRate: 13% · 281 patients
14%281 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims27 services$4.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Physician Assistant (Medical)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Nurse Practitioner (Family)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Nurse Practitioner (Family)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Physician Assistant (Medical)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Nurse Practitioner (Family)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207
Nurse Practitioner (Family)
220 E ROWAN AVE STE 300
SPOKANE, WA 99207

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 Mark Lahtinen's NPI number?

The NPI number for Mark Lahtinen is 1285291740. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Mark Lahtinen located?

Mark Lahtinen practices at 220 E Rowan Ave Ste 300, Spokane, WA 99207. The listed phone number is (509) 498-3554.

What is Mark Lahtinen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Lahtinen enrolled in Medicare?

Yes. Mark Lahtinen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Lahtinen accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Lahtinen 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.

Is Mark Lahtinen affiliated with any hospitals?

According to CMS data, Mark Lahtinen is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Mark Lahtinen was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.