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DR. MARGERY LACKMAN M.D.
NPI 1619036688
Pediatrics in Albany, CA

Active since December 06, 2006PECOS Enrolled
500 SAN PABLO AVE, ALBANY, CA 94706(510) 204-8130(510) 524-0861 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 14, 2017, Oct 27, 2017 (3 updates tracked since 2017).

About Dr. Margery Lackman M.d. NPPES

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

DR. MARGERY LACKMAN M.D. (NPI 1619036688) is an individual pediatrics provider in Albany, California, licensed in California (G63812) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1619036688
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARGERY LACKMANCredential: M.D.
Location Address500 SAN PABLO AVEAlbany, CA 94706-1103
Mailing Address500 San Pablo AveAlbany, CA 94706-1103 · (510) 204-8130 · Fax (510) 524-0861
Phone(510) 204-8130
Fax(510) 524-0861
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1619036688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G63812
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.
500 SAN PABLO AVE, Albany, CA 94706
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Secondary Practice Location 1

Location 12970 Hilltop Mall Rd, Suite 305Richmond, CA 94806-1947 · Phone (510) 222-5437 · Fax (510) 222-5487

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Margery Lackman 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 94706 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

FUMI LOUISE SUZUKI M.D.
Family Medicine
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
NINA R BIRNBAUM M.D.
Family Medicine
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
MAYA PANDURANGI D.O
Internal Medicine
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
MARY BUNZEL NP
Nurse Practitioner (Family)
500 SAN PABLO AVE, SUITE 300
ALBANY, CA 94706
Alameda County (510) 524-9247
MARGARET KIRKHAM RN, MSN, FNP
Nurse Practitioner (Family)
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
MARY E. WARDLAW N.P.
Nurse Practitioner (Family)
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
EMILY CRISTINA VIGGIANO M.D.
Pediatrics
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130
JEFFREY RAYMOND KARON MD
Internal Medicine
500 SAN PABLO AVE
ALBANY, CA 94706
Alameda County (510) 204-8130

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 Margery Lackman's NPI number?

The NPI number for Margery Lackman is 1619036688. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Margery Lackman located?

Margery Lackman practices at 500 San Pablo Ave, Albany, CA 94706. The listed phone number is (510) 204-8130.

What is Margery Lackman's specialty?

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

Is Margery Lackman enrolled in Medicare?

Yes. Margery Lackman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Margery Lackman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.