KENA D LACKMAN MD
NPI 1427583285
Family Medicine in Buhl, ID

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment
725 FAIR ST, BUHL, ID 83316(208) 543-8271(208) 543-8272 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Oct 13, 2021, Apr 28, 2017 (3 updates tracked since 2017).

About Kena D Lackman Md NPPES

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

KENA D LACKMAN MD (NPI 1427583285) is an individual family medicine provider in Buhl, Idaho, licensed in Idaho (M-14465) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Polson.

NPPES Registry Identity

NPI1427583285
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKENA D LACKMANCredential: MD
Location Address725 FAIR STBuhl, ID 83316-6442
Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 734-3312 · Fax (208) 734-5036
Fax(208) 543-8272
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017
Enumeration DateApril 28, 2017
Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1427583285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ID · M-14465 Licensed in ID · MRM-1634
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.
725 FAIR ST, Buhl, ID 83316

Secondary Practice Location 1

Location 1104 Rufus LnPolson, MT 59860-8903 · Phone (406) 883-2555 · Fax (406) 883-2559

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

Kena D Lackman Md 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 ID6406126119
PECOS Enrollment IDI20211028002664, I20231027002290
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83316 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.14 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 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
725 FAIR ST
BUHL, ID 83316
Family Medicine
725 FAIR ST
BUHL, ID 83316
Physician Assistant
725 FAIR ST
BUHL, ID 83316
Physician Assistant (Medical)
725 FAIR ST
BUHL, ID 83316
Dentist (General Practice)
725 FAIR ST
BUHL, ID 83316
Pharmacy (Community/Retail Pharmacy)
725 FAIR ST
BUHL, ID 83316

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 Kena Lackman's NPI number?

The NPI number for Kena Lackman is 1427583285. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Kena Lackman located?

Kena Lackman practices at 725 Fair St, Buhl, ID 83316. The listed phone number is (208) 543-8271.

What is Kena Lackman's specialty?

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

Is Kena Lackman enrolled in Medicare?

Yes. Kena Lackman 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 Kena Lackman accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Providence Health Plan and University of Utah Health Plans list Kena Lackman 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 Kena Lackman affiliated with any hospitals?

According to CMS data, Kena Lackman is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kena Lackman was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.