LANNY F CAMPBELL MD
NPI 1780790147
Family Medicine in Rupert, ID

Q: What is Lanny Campbell's NPI number?

The NPI number for Lanny Campbell is 1780790147. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Lanny Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lanny Campbell was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

1308 8TH ST STE 1, RUPERT, ID 83350(208) 436-4322(208) 436-1312 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2023, Mar 9, 2020 (2 updates tracked since 2020).

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About Lanny F Campbell Md NPPES

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

LANNY F CAMPBELL MD (NPI 1780790147) is an individual family medicine provider in Rupert, Idaho, licensed in Idaho (M-8031) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Rupert.

NPPES Registry Identity

NPI1780790147

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLANNY F CAMPBELLCredential: MD

Location Address1308 8TH ST STE 1Rupert, ID 83350-1535

Mailing Address1224 8th StreetRupert, ID 83350-1527 · (208) 434-8236 · Fax (208) 436-6038

Phone(208) 436-4322

Fax(208) 436-1312

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1997

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1780790147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-8031

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License M-8031 (ID)

1308 8TH ST STE 1, Rupert, ID 83350

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Secondary Practice Location 1

Location 11224 8th StreetRupert, ID 83350-1527 · Phone (208) 434-8236 · Fax (208) 436-6038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lanny F Campbell 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 ID4880678069

PECOS Enrollment IDI20040615001480

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 Reassignments

Medicare enrollment records show Lanny Campbell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minidoka Memorial Hospital

Same address

Rural Health

1308 8TH ST, SUITE 1
Rupert, ID 83350

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1679553531 (Idaho)
61 clinicians in this Medicare group

NPI 1043387426 (208) 436-4322

Ihc Health Services Inc

8.3 mi

Obstetrics & Gynecology

1408 POMERELLE, SUITE H
Burley, ID 83318

Reassigned Medicare billing, Idaho enrollment
109 clinicians in this Medicare group

NPI 1891932422 (208) 878-4970

Physicians Immediate Care Of Twin Falls PA

42 mi

Urgent Care

243 CHENEY DR W STE 200
Twin Falls, ID 83301

Reassigned Medicare billing, Idaho enrollment
6 clinicians in this Medicare group

NPI 1114141090 (208) 736-7422

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

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID

OwnershipGovernment - Local

CMS Certification Number131319

Location1224 8th StreetRupert, ID 83350 · Minidoka County

Emergency services

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131326

Location1501 Hiland AvenueBurley, ID 83318 · Cassia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83350 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 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 supplier19 claims19 services$21.21 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 supplier16 claims16 services$118.95 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 10

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

ALEKSANDR DOROSHKIN MD

Family Medicine