Deactivated NPI 1699790857 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan E Lackner , MD

Urology • Albuquerque, NM

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jonathan Lackner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006

NPI Deactivation Date August 06, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Lackner, MD was a registered Urology practicing in Albuquerque, NM. Throughout an active medical career spanning 20 years, Dr. Lackner provided care at the practice location at 610 BROADWAY BLVD NE until profile deactivation on 2026-08-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

610 Broadway Blvd Ne

Albuquerque, NM 871022372

Telephone 5052423991

Fax 5059981660

Associated Practice Facility / Clinic

🏢 Albuquerque Urology Associates, Pa Facility NPI 1376569921

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Albuquerque, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.2 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

28 Specialists

Practicing in Albuquerque, NM (63 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	228	$99.41	$63.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$200.65	$80.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	80	66	$39.00	$16.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$326.09	$130.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$157.33	$92.80
52000 Diagnostic exam of bladder and urethra using an endoscope	51	47	$1227.69	$78.92
99213 Established patient office or other outpatient visit, typically 15 minutes	32	18	$221.59	$58.92
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	17	$4225.20	$391.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$604.00	$119.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	115	$201.00	$93.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$304.97	$116.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	105	$122.84	$58.68
52000 Diagnostic exam of bladder and urethra using an endoscope	43	40	$1211.00	$248.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$172.00	$81.55
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$201.00	$75.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$317.12	$80.51
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$84.00	$64.79
81002 Urinalysis, manual test	18	16	$37.00	$3.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$2052.29	$419.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$2793.85	$143.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$65.00	$23.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$437.00	$174.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	240	121	$235.53	$54.73
81002 Urinalysis, manual test	174	89	$10.64	$3.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	47	$83.02	$38.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	58	$113.33	$70.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$290.90	$112.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$245.69	$131.40
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$151.44	$79.62
52000 Diagnostic exam of bladder and urethra using an endoscope	32	24	$961.25	$232.40
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$1014.74	$410.82
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$254.36	$73.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	156	$69.97	$62.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$288.77	$108.13
99441 Telephone medical discussion with physician, 5-10 minutes	58	51	$83.97	$35.74
52000 Diagnostic exam of bladder and urethra using an endoscope	53	47	$174.26	$80.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$240.00	$54.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	24	$59.57	$37.93
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$257.76	$88.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	32	$102.36	$70.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$40.44	$33.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$197.72	$134.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$107.87	$95.72
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$796.95	$138.54
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$280.00	$71.45
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$924.00	$227.49
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$633.71	$417.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	248	$61.52	$51.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	120	$33.78	$26.29
52000 Diagnostic exam of bladder and urethra using an endoscope	108	72	$181.56	$83.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	91	$95.20	$79.66
99441 Telephone medical discussion with physician, 5-10 minutes	47	41	$110.98	$26.19
99441 Telephone medical discussion with physician, 5-10 minutes	44	43	$75.00	$26.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	15	$67.00	$39.72
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$966.71	$163.96
76872 Ultrasound scan of pelvic region through rectum	17	17	$112.88	$33.82
99442 Telephone medical discussion with physician, 11-20 minutes	14	12	$198.57	$51.93
55700 Biopsy of prostate gland	14	14	$280.43	$135.50
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	11	$647.00	$432.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	413	269	$61.67	$51.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	143	$34.08	$25.70
52000 Diagnostic exam of bladder and urethra using an endoscope	125	86	$218.10	$83.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	57	$94.00	$79.04
76872 Ultrasound scan of pelvic region through rectum	35	27	$67.00	$33.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	25	$67.00	$39.66
55700 Biopsy of prostate gland	30	23	$271.20	$135.27
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	25	$747.00	$131.02
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$60.00	$51.00
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$133.00	$98.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$133.00	$111.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$647.00	$432.66
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	14	12	$2964.00	$270.71
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$1650.00	$734.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	382	276	$199.27	$70.34
99213 Established patient office or other outpatient visit, typically 15 minutes	221	186	$63.50	$50.86
81003 Automated urinalysis test	87	81	$20.00	$2.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	71	$33.11	$25.31
52000 Diagnostic exam of bladder and urethra using an endoscope	71	63	$584.30	$158.58
52000 Diagnostic exam of bladder and urethra using an endoscope	71	62	$229.68	$82.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	29	$82.28	$39.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$254.57	$101.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$100.63	$42.34
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$62.87	$50.18
51798 Ultrasound measurement of bladder capacity after voiding	30	27	$50.71	$14.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$96.88	$76.54
51702 Simple insertion of temporary bladder tube	17	12	$67.47	$25.56
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$1948.38	$743.71
51702 Simple insertion of temporary bladder tube	13	11	$323.41	$61.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$124.64	$64.37
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$998.88	$139.07
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$153.87	$73.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$94.00	$77.79
55700 Biopsy of prostate gland	11	11	$586.59	$133.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$322.54	$135.99
76872 Ultrasound scan of pelvic region through rectum	11	11	$380.74	$92.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	770	374	$20.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	646	360	$200.00	$69.95
52000 Diagnostic exam of bladder and urethra using an endoscope	129	85	$584.30	$156.67
36415 Insertion of needle into vein for collection of blood sample	91	58	$9.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	75	$254.23	$103.92
84153 Psa (prostate specific antigen) measurement, total	86	52	$75.87	$24.23
51798 Ultrasound measurement of bladder capacity after voiding	57	47	$50.68	$17.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	32	$106.72	$37.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$100.94	$41.75
51741 Electronic assessment of bladder emptying	23	22	$219.43	$8.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	17	$1351.51	$145.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$504.28	$200.13
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$153.87	$72.28
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	19	$1985.30	$433.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$345.33	$132.93
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$739.20	$106.28
76872 Ultrasound scan of pelvic region through rectum	15	15	$376.59	$84.83
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$800.00	$298.64
51702 Simple insertion of temporary bladder tube	15	11	$323.41	$60.17
81002 Urinalysis, manual test	13	13	$18.00	$3.43
51700 Simple bladder irrigation and/or instillation	11	11	$287.25	$66.39

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NM 99-72

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Peter Headley , MD

Urology

NPI 1134394430

Doctor of Medicine (M.D.)

Dr. Vaun Floyd , MD

Urology

NPI 1184659997

Doctor of Medicine (M.D.)

Deitra Gates , CNS

Clinical Nurse Specialist - Adult Health

NPI 1366865560

Clinical Nurse Specialist

Dr. Stefan Gutow , MD

Specialist

NPI 1386691772

Doctor of Medicine (M.D.)

Shelly Minish , PA-C

Physician Assistant - Medical

NPI 1477983849

Physician Assistant (Certified)

Jamie Edens , PA-C

Physician Assistant - Medical

NPI 1508034588

Physician Assistant (Certified)

Career & Practice History Timeline

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

16 Historical Events

⚠️

NPI Profile Deactivated August 06, 2026

Record deactivated on August 06, 2026

📍

Updated Practice Location August 07, 2025

Registered at 500 THOMAS LN STE 3G, COLUMBUS, OH 432141419 (Tel: 6147882870)

📍

Updated Business Mailing Address August 07, 2025

Registered at PO BOX 7527, DUBLIN, OH 430170727

📍

Updated Practice Location September 12, 2023

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 8554465937)

📍

Updated Business Mailing Address September 12, 2023

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 8554465937)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Urology (License #99-72 in NM)

📍

Updated Practice Location July 09, 2021

Registered at 9500 MENTOR AVE STE 370, MENTOR, OH 440608714 (Tel: 4409464555)

📍

Updated Business Mailing Address July 09, 2021

Registered at 9500 MENTOR AVE STE 370, MENTOR, OH 440608714 (Tel: 4409464555)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2021

Urology (License #35.140970 in OH)

📍

Updated Business Mailing Address April 03, 2018

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059236770)

✅

NPI Profile Active November 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2014

Registered at 610 BROADWAY BLVD NE, ALBUQUERQUE, NM 871022372 (Tel: 5052423991)

📍

Updated Business Mailing Address November 26, 2014

Registered at 610 BROADWAY BLVD NE, ALBUQUERQUE, NM 871022372 (Tel: 5052423991)

👤

Provider Name / Credentials Updated November 26, 2014

Recorded as JONATHAN LACKNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2014

Urology (License #99-72 in NM)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699790857

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: November 26, 2014

Deactivation Date: August 06, 2026

Update or Correct Profile

Mailing Address

610 Broadway Blvd Ne

Albuquerque, NM 871022372

Phone: 5052423991

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

⚠️ Medical Disclaimer

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