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

Q: 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.

Q: What is Douglas Lackowski's specialty?

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

Q: 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 13 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.

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: August 09, 2026.

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

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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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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 4

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

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

Quality

90.8

Promoting Interoperability

100

Improvement Activities

Cost

64.75

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)