DR. MARK L LACAMBRA M.D.
NPI 1508848953
Family Medicine in Seattle, WA

Active since November 18, 2005Opted out of Medicare · through Dec 20, 2027
4915 25TH AVE NE, #301, SEATTLE, WA 98105(206) 368-5880(206) 522-5236 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark L Lacambra M.d. NPPES

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

DR. MARK L LACAMBRA M.D. (NPI 1508848953) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00042828) and active in the NPI registry since November 2005. He has opted out of Medicare through December 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508848953
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK L LACAMBRACredential: M.D.
Location Address4915 25TH AVE NE, #301Seattle, WA 98105-5667
Mailing Address4915 25th Ave Ne, #301Seattle, WA 98105-5667 · (206) 368-5880 · Fax (206) 522-5236
Fax(206) 522-5236
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateFebruary 28, 2012
NPI 1508848953 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 · MD00042828
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.

4915 25TH AVE NE, Seattle, WA 98105

Other Identifiers 2

Medicare UPINI28689WA
Medicare ID-Type Unspecified8852878WA · Medicare Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark L Lacambra M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2019 through December 20, 2027.

Opt-Out Effective DateDecember 20, 2019
Opt-Out In Effect ThroughDecember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 20

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

Chiropractor
4915 25TH AVE NE, #104W
SEATTLE, WA 98105
Dentist (Pediatric Dentistry)
4915 25TH AVE NE
SEATTLE, WA 98105
Acupuncturist
4915 25TH AVE NE, SUITE 104 WEST
SEATTLE, WA 98105
Internal Medicine
4915 25TH AVE NE, #301
SEATTLE, WA 98105
Internal Medicine
4915 25TH AVE NE, SUITE 301
SEATTLE, WA 98105
Dentist
4915 25TH AVE NE
SEATTLE, WA 98105
Dentist (Orthodontics and Dentofacial Orthopedics)
4915 25TH AVE NE, #203
SEATTLE, WA 98105
Plastic Surgery
4915 25TH AVE NE
SEATTLE, WA 98105

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 Lacambra's NPI number?

The NPI number for Mark Lacambra is 1508848953. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Mark Lacambra located?

Mark Lacambra practices at 4915 25th Ave NE #301, Seattle, WA 98105. The listed phone number is (206) 368-5880.

What is Mark Lacambra's specialty?

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

Is Mark Lacambra enrolled in Medicare?

No. Mark Lacambra has opted out of Medicare through December 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Lacambra accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mark Lacambra 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 Mark Lacambra was last updated on February 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.