Active NPI 1063456648 Individual Practitioner Male Practitioner

Dr. John Lackey , MD

Specialist • Pocatello, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Lackey, MD is a certified Specialist practicing in Pocatello, ID. With approximately 58 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 1968, Dr. Lackey delivers high-quality medical care to the local community at 500 S 11TH AVE.

Dr. Lackey is affiliated with Shoshone Bannock Tribes, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 S 11th Ave

Pocatello, ID 832014835

Telephone 2082323103

Fax 2082320756

Associated Practice Facility / Clinic

🏢 Salt Lake City Vamc Facility NPI 1487691002

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

1968

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pocatello, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

58 Yrs +9.0 yrs vs City Avg

City Avg: 49.0 Yrs

State Avg: 35.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Pocatello, ID (194 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lackey (58 Years) 58 Yrs

Pocatello Specialty Average (49.0 Years) 49.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	50	39	$20.50	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	44	36	$37.82	$7.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$216.53	$119.73
80053 Blood test, comprehensive group of blood chemicals	32	30	$63.88	$10.50
83036 Hemoglobin A1C level	27	22	$41.26	$9.67
81003 Automated urinalysis test	21	18	$19.29	$2.24
80061 Blood test, lipids (cholesterol and triglycerides)	18	18	$59.22	$13.35
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$148.07	$84.33
83721 Ldl cholesterol level	11	11	$49.18	$10.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	125	64	$22.66	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	58	$218.80	$121.05
80053 Blood test, comprehensive group of blood chemicals	112	60	$80.54	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	56	45	$62.41	$13.39
81003 Automated urinalysis test	54	37	$19.94	$2.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	39	$44.49	$7.77
83036 Hemoglobin A1C level	52	33	$43.15	$9.71
0064A Adm sarscov2 50mcg/0.25mlbst	50	50	$40.00	$36.59
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	36	36	$25.81	$19.91
99213 Established patient office or other outpatient visit, typically 15 minutes	36	19	$151.22	$85.06
G0008 Administration of influenza virus vaccine	36	36	$40.56	$15.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	20	$60.76	$20.81
0012A Adm sarscov2 100mcg/0.5ml2nd	29	29	$36.00	$31.32
0011A Adm sarscov2 100mcg/0.5ml1st	28	27	$25.18	$23.07
81015 Urinalysis using microscope	27	23	$24.44	$3.05
83721 Ldl cholesterol level	24	16	$54.63	$10.50
91306 Sarscov2 vac 50mcg/0.25ml im	16	16	$2.59	$0.01
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	13	$155.00	$51.31
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$174.00	$121.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	103	55	$21.98	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	60	$231.93	$102.06
80053 Blood test, comprehensive group of blood chemicals	49	35	$66.00	$10.49
81003 Automated urinalysis test	48	34	$21.96	$2.22
80061 Blood test, lipids (cholesterol and triglycerides)	43	38	$75.00	$13.21
83036 Hemoglobin A1C level	38	27	$48.00	$9.58
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$159.59	$70.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	19	$41.00	$7.69
G0008 Administration of influenza virus vaccine	25	25	$64.00	$15.74
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	24	24	$26.33	$19.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$124.57	$41.90
99442 Telephone medical discussion with physician, 11-20 minutes	21	14	$112.19	$70.34
81015 Urinalysis using microscope	17	15	$20.00	$3.01
99443 Telephone medical discussion with physician, 21-30 minutes	16	12	$222.75	$102.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$80.21	$21.44
83721 Ldl cholesterol level	13	11	$59.00	$10.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$145.97	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	218	105	$22.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	156	83	$161.00	$69.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	72	$233.00	$101.90
83036 Hemoglobin A1C level	105	51	$48.00	$10.57
80061 Blood test, lipids (cholesterol and triglycerides)	86	65	$75.00	$14.58
80053 Blood test, comprehensive group of blood chemicals	85	50	$66.00	$11.51
81003 Automated urinalysis test	73	57	$22.00	$2.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	44	$41.00	$8.46
81015 Urinalysis using microscope	54	35	$20.00	$3.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$126.00	$41.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	12	$52.88	$15.50
83785 Manganese (heavy metal) level	20	16	$141.00	$26.78
84443 Blood test, thyroid stimulating hormone (TSH)	20	19	$91.00	$18.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	98	$161.28	$65.90
36415 Insertion of needle into vein for collection of blood sample	208	96	$22.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	145	80	$66.00	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	111	70	$41.00	$9.40
83036 Hemoglobin A1C level	99	55	$48.00	$11.75
80061 Blood test, lipids (cholesterol and triglycerides)	84	68	$75.00	$16.20
81003 Automated urinalysis test	67	54	$22.00	$2.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	41	$126.00	$39.53
84443 Blood test, thyroid stimulating hormone (TSH)	59	45	$91.00	$20.33
G0008 Administration of influenza virus vaccine	54	52	$49.91	$18.90
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	54	52	$40.70	$17.82
81015 Urinalysis using microscope	47	32	$20.00	$3.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$233.00	$97.33
G0009 Administration of pneumococcal vaccine	13	13	$55.00	$18.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	106	$160.39	$67.29
36415 Insertion of needle into vein for collection of blood sample	202	97	$23.11	$2.94
80053 Blood test, comprehensive group of blood chemicals	118	75	$65.73	$13.60
85610 Blood test, clotting time	82	12	$37.84	$5.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	74	59	$40.72	$10.45
81003 Automated urinalysis test	67	50	$23.07	$3.02
80061 Blood test, lipids (cholesterol and triglycerides)	62	54	$74.81	$14.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	33	$125.56	$39.90
81001 Manual urinalysis test with examination using microscope, automated	48	35	$27.25	$4.26
G0008 Administration of influenza virus vaccine	43	41	$44.27	$23.26
84443 Blood test, thyroid stimulating hormone (TSH)	43	36	$90.19	$21.15
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	40	40	$36.34	$17.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$229.12	$99.40
83721 Ldl cholesterol level	16	14	$57.13	$12.83
83785 Manganese (heavy metal) level	14	14	$134.07	$33.07
81015 Urinalysis using microscope	13	13	$20.00	$4.10

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M3873

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002487500 (ID)

Hospital & Practice Group Affiliations

Shoshone Bannock Tribes, Inc

717 Mission Rd, Fort Hall, ID 832030306

Phone: 2084783995

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. John Christensen , PhD

Psychologist - Clinical

NPI 1124175898

Doctor of Philosophy (Ph.D.)

James Campbell , PA-C

Physician Assistant - Medical

NPI 1144550724

Physician Assistant (Certified)

Barbara Roberts , NP

Nurse Practitioner - Women's Health

NPI 1194736090

Nurse Practitioner

Dr. Linda Babbitt , MD

Internal Medicine

NPI 1235232422

Doctor of Medicine (M.D.)

Jenna Thompson , LCSW

Social Worker - Clinical

NPI 1235678848

Licensed Clinical Social Worker

Dr. Robert Bohus , MD

Urology

NPI 1275573552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 500 S 11TH AVE, POCATELLO, ID 832014835 (Tel: 2082323103)

📍

Updated Business Mailing Address July 08, 2007

Registered at 700 CANYON DR, POCATELLO, ID 832044840 (Tel: 2082341921)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LACKEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #M3873 in ID)

🟢

Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063456648

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Canyon Dr

Pocatello, ID 832044840

Phone: 2082341921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.