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DOUGLAS MICHAEL LACKOWSKI M.D.
NPI 1831292861
Internal Medicine - Medical Oncology in Portland, OR

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
88.79/100
CMS Quality Rating
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL, PORTLAND, OR 97227(503) 285-9321 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2025, Feb 4, 2022 (2 updates tracked since 2022).

About Douglas Michael Lackowski M.d. NPPES

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

DOUGLAS MICHAEL LACKOWSKI M.D. (NPI 1831292861) is an individual medical oncology provider in Portland, Oregon, licensed in Oregon (MD18334) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1831292861
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDOUGLAS MICHAEL LACKOWSKICredential: M.D.
Location Address3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRALPortland, OR 97227-1106
Mailing AddressKaiser Permanente Interstate Medical Office Central, 3600 N. Interstate AvePortland, OR 97227-1116
Phone(503) 285-9321
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1992
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1831292861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in OR · MD18334✔ Licensed in WA · WA MD00032902
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
3600 N INTERSTATE AVE, Portland, OR 97227
Open in Google Maps ↗

Secondary Practice Location 1

Location 115700 SW Greystone CtBeaverton, OR 97006-6011 · Phone (971) 262-9000 · Fax (971) 262-9010

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

Douglas Michael Lackowski M.d. 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 ID7012098361
PECOS Enrollment IDI20080114000115
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

3

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

Kaiser Foundation Health Plan Of The Northwest
Same address
Oncology, Radiation
3620 N INTERSTATE AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1093043424 (503) 280-2931
University Professional Services
3.0 mi
Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1316354970 (503) 494-4745
Kaiser Foundation Health Plan Of Washington
133 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.8
Promoting Interoperability100
Improvement Activities40
Cost64.75

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.

DAVID WEI KUO LIN M.D.
Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Multnomah County (503) 331-6085
DR. LYNETTE SANTOS MALIK M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227
Multnomah County (503) 331-3070
DR. RYO A. SHOHARA M.D.
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6500
JOHANNA R HEYMANN RN, LCSW
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 213-8000
DR. SARI JOUIHAN MS, PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 504-4203
THOMAS HUGH GIBBS O.D.
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 249-3449
DR. CATALINA HERNANDEZ TORRES MD
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
ANTONY MATHEW POOTHULLIL MD
Ophthalmology
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 331-6330

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 Douglas Lackowski's NPI number?

The NPI number for Douglas Lackowski is 1831292861. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Douglas Lackowski located?

Douglas Lackowski practices at 3600 N Interstate Ave Interstate Medical Office Central, Portland, OR 97227. The listed phone number is (503) 285-9321.

What is Douglas Lackowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Douglas Lackowski enrolled in Medicare?

Yes. Douglas Lackowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Lackowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Lackowski reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR), University Professional Services (Portland, OR) and Kaiser Foundation Health Plan Of Washington (Renton, WA). Each 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 Douglas Lackowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Lackowski affiliated with any hospitals?

According to CMS data, Douglas Lackowski is affiliated with Ohsu Hospital And Clinics, Legacy Mount Hood Medical Center, Adventist Health Portland, Legacy Meridian Park Medical Center and Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Lackowski was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.