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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Margery Lackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
6.8 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Margery Lackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margery Lackman reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margery Lackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.