DR. JACOB RANDALL LASSITER M.D.
NPI 1295178580
Obstetrics & Gynecology in Crestview, FL

Q: What is Jacob Lassiter's NPI number?

The NPI number for Jacob Lassiter is 1295178580. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Jacob Lassiter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Lassiter was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 17, 2013PECOS EnrolledAccepts Medicare Assignment

87.47/100

CMS Quality Rating

550 REDSTONE AVE W STE 470, CRESTVIEW, FL 32536(850) 689-2229 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2021, Sep 8, 2020, Aug 17, 2017 (3 updates tracked since 2017).

On this page

About Dr. Jacob Randall Lassiter M.d. NPPES

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

DR. JACOB RANDALL LASSITER M.D. (NPI 1295178580) is an individual obstetrics & gynecology provider in Crestview, Florida, licensed in Florida (ME140756) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with North Okaloosa Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295178580

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JACOB RANDALL LASSITERCredential: M.D.

Location Address550 REDSTONE AVE W STE 470Crestview, FL 32536-6457

Mailing Address550 Redstone Ave W Ste 470Crestview, FL 32536-6457 · (850) 689-2229

Phone(850) 689-2229

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 17, 2013

Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1295178580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in FL · ME140756✔ Licensed in MS · 24652

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MD.34009 (AL)

550 REDSTONE AVE W STE 470, Crestview, FL 32536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Jacob Randall Lassiter 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 ID6406087428

PECOS Enrollment IDI20190726000762

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 2

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 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.

31 services21 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100122

Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32536 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

87.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.95

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

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

NORTH OKALOOSA CLINIC CORP

Clinic/Center (Rural Health)

550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536

Okaloosa County (850) 689-2229

ABIGAIL COLES BECK FNP-C

Nurse Practitioner (Family)

550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536

Okaloosa County (850) 689-2229

NORTH OKALOOSA CLINIC CORP

Obstetrics & Gynecology

550 REDSTONE AVE W STE 470
CRESTVIEW, FL 32536

Okaloosa County (850) 689-2229

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 Jacob Lassiter's NPI number?

The NPI number for Jacob Lassiter is 1295178580. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Jacob Lassiter located?

Jacob Lassiter practices at 550 Redstone Ave W Ste 470, Crestview, FL 32536. The listed phone number is (850) 689-2229.

What is Jacob Lassiter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacob Lassiter enrolled in Medicare?

Yes. Jacob Lassiter 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.

What insurance does Jacob Lassiter accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Jacob Lassiter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Lassiter affiliated with any hospitals?

According to CMS data, Jacob Lassiter is affiliated with North Okaloosa Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Lassiter was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.