Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ELLEN LACKERMAN M.D.
NPI 1710976485
Family Medicine in Seattle, WA

Active since October 17, 2005PECOS Enrolled
1200 12TH AVE S, SEATTLE, WA 98144(206) 326-2400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ellen Lackerman M.d. NPPES

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

DR. ELLEN LACKERMAN M.D. (NPI 1710976485) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00023806) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710976485
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELLEN LACKERMANCredential: M.D.
Location Address1200 12TH AVE SSeattle, WA 98144-2712
Mailing Address1200 12th Ave SSeattle, WA 98144-2712 · (206) 326-2400
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1710976485 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 · MD00023806
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.

1200 12TH AVE S, Seattle, WA 98144

Other Identifiers 1

Medicaid8131476WA

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 (PECOS)

Dr. Ellen Lackerman 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 98144 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.02 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 20

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

Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Nuclear Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Diagnostic Radiology)
1200 12TH AVE S
SEATTLE, WA 98144
Radiology (Neuroradiology)
1200 12TH AVE S
SEATTLE, WA 98144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710976485, enumerated as an "individual" on October 17, 2005.

The provider is located at 1200 12TH AVE S SEATTLE, WA 98144 and the phone number is (206) 326-2400.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.