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DUNCAN LAHTINEN DO
NPI 1407877491
Family Medicine in Spokane, WA

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
220 E ROWAN ST, SUITE 300, SPOKANE, WA 99207(509) 489-3554(509) 489-3558 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Duncan Lahtinen Do NPPES

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

DUNCAN LAHTINEN DO (NPI 1407877491) is an individual family medicine provider in Spokane, Washington, licensed in Washington (OP0001367) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1989).

NPPES Registry Identity

NPI1407877491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDUNCAN LAHTINENCredential: DO
Location Address220 E ROWAN ST, SUITE 300Spokane, WA 99207
Mailing Address220 E Rowan St, Suite 300Spokane, WA 99207 · (509) 489-3554 · Fax (509) 489-3558
Phone(509) 489-3554
Fax(509) 489-3558
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1989
Enumeration DateJuly 22, 2006
Last NPPES UpdateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1407877491 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 · OP0001367
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 ST, Spokane, WA 99207
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Other Identifiers 1

Medicaid8138737WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Duncan 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 ID1456342047
PECOS Enrollment IDI20040521000734
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 11

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 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.
786 services214 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
106 services55 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.
86 services86 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
74 services11 patients
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.
73 services52 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.
69 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost83.71

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%279 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
88%2,579 patients4/55-star benchmark: 100%
Breast Cancer Screening
2%255 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%347 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
5%21 patients
Colorectal Cancer Screening
40%624 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
86%370 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%53 patients
Diabetes: Eye Exam
0%185 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%185 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%7,517 patients5/55-star benchmark: 100%
e-Prescribing
99%28,981 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%516 patients5/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%56 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,219 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
48%494 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%1,730 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,057 patients
Patients screened: 100% · 1,057 patients
99%235 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%2,169 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%475 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 556 patients
Patients totalRate: 20% · 556 patients
22%556 patients2/55-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 9

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 suppliers15 claims38 services$6.24 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers13 claims13 services$36.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$86.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers12 claims12 services$17.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers21 claims119 services$2.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$17.48 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

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

PAUL E PIPER MD
Family Medicine
220 E ROWAN ST, STE 300
SPOKANE, WA 99207
Spokane County (509) 489-3554

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 Duncan Lahtinen's NPI number?

The NPI number for Duncan Lahtinen is 1407877491. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Duncan Lahtinen located?

Duncan Lahtinen practices at 220 E Rowan St Suite 300, Spokane, WA 99207. The listed phone number is (509) 489-3554.

What is Duncan Lahtinen's specialty?

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

Is Duncan Lahtinen enrolled in Medicare?

Yes. Duncan 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 Duncan Lahtinen accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Duncan 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 Duncan Lahtinen affiliated with any hospitals?

According to CMS data, Duncan Lahtinen is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Duncan Lahtinen was last updated on February 21, 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.