DR. RENEE DIANE LASS DO
NPI 1174584445
Family Medicine in Davenport, IA

Q: What is Renee Lass's NPI number?

The NPI number for Renee Lass is 1174584445. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Renee Lass'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 Renee Lass was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 March 28, 2006PECOS Enrolled

4626 PROGRESS DR, SUITE B, DAVENPORT, IA 52807(563) 359-3736(563) 359-0153 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Renee Diane Lass Do NPPES

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

DR. RENEE DIANE LASS DO (NPI 1174584445) is an individual family medicine provider in Davenport, Iowa, licensed in Iowa (3589) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174584445

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RENEE DIANE LASSCredential: DO

Location Address4626 PROGRESS DR, SUITE BDavenport, IA 52807-3485

Mailing Address4626 Progress Dr, Suite BDavenport, IA 52807-3485 · (563) 359-3736 · Fax (563) 359-0153

Phone(563) 359-3736

Fax(563) 359-0153

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateJuly 21, 2015

✔ NPI 1174584445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 3589

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.

4626 PROGRESS DR, Davenport, IA 52807

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Other Identifiers 5

Medicare UPINH85372

Medicaid3444885IA

Other04386IA · Blue Cross Blue Shield

Medicare ID-Type UnspecifiedI16823IA

Medicare PINIB1927IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renee Diane Lass Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52807 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 5

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

RUPA BONTU MD

Internal Medicine

4626 PROGRESS DR
DAVENPORT, IA 52807

Scott County (563) 441-9100

RADHIKA KOLLA MD

Internal Medicine

4626 PROGRESS DR
DAVENPORT, IA 52807

Scott County (563) 441-9100

GREAT RIVER MEDICAL GROUP

Internal Medicine

4626 PROGRESS DR
DAVENPORT, IA 52807

Scott County (563) 441-9100

LISA A KOPP DO

Internal Medicine

4626 PROGRESS DR, SUITE C
DAVENPORT, IA 52807

Scott County (563) 441-9100

DR. THOMAS JOHN SNYDER DO

Internal Medicine

4626 PROGRESS DR, SUITE A
DAVENPORT, IA 52807

Scott County (563) 386-0850

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 Renee Lass's NPI number?

The NPI number for Renee Lass is 1174584445. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Renee Lass located?

Renee Lass practices at 4626 Progress Dr Suite B, Davenport, IA 52807. The listed phone number is (563) 359-3736.

What is Renee Lass's specialty?

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

Is Renee Lass enrolled in Medicare?

Yes. Renee Lass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renee Lass was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.