DR. JACOB J LUSTGARTEN M.D.
NPI 1316072598
Surgery - Vascular Surgery in Washington, DC

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
2041 GEORGIA AVE NW STE 4000, WASHINGTON, DC 20060(202) 865-3785 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Jun 8, 2021 (2 updates tracked since 2021).

About Dr. Jacob J Lustgarten M.d. NPPES

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

DR. JACOB J LUSTGARTEN M.D. (NPI 1316072598) is an individual vascular surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD32668) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kensington, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1316072598
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JACOB J LUSTGARTENCredential: M.D.
Location Address2041 GEORGIA AVE NW STE 4000Washington, DC 20060-0001
Mailing Address2041 Georgia Ave Nw Ste 3400Washington, DC 20060-0001 · (202) 865-6679
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1316072598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in DC · MD32668 Licensed in MD · D0056700 Licensed in MD · D56700
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 0101229914 (VA)
2041 GEORGIA AVE NW STE 4000, Washington, DC 20060

Secondary Practice Location 1

Location 110810 Connecticut AvenueKensington, MD 20895 · Phone (301) 929-7100 · Fax (301) 929-7114

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 J Lustgarten 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 ID4385633429
PECOS Enrollment IDI20040512000434
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 20060 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 6

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

Surgery
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060
Surgery (Surgical Critical Care)
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060
Surgery (Trauma Surgery)
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060
Surgery (Vascular Surgery)
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060
Surgery (Surgical Oncology)
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060
Surgery
2041 GEORGIA AVE NW STE 4000
WASHINGTON, DC 20060

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 Lustgarten's NPI number?

The NPI number for Jacob Lustgarten is 1316072598. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jacob Lustgarten located?

Jacob Lustgarten practices at 2041 Georgia Ave NW Ste 4000, Washington, DC 20060. The listed phone number is (202) 865-3785.

What is Jacob Lustgarten's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jacob Lustgarten enrolled in Medicare?

Yes. Jacob Lustgarten 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.

When was this NPI record last updated?

The NPPES record for Jacob Lustgarten was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.