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DR. BENJAMIN PASICOV M.D.
NPI 1487782280
General Practice in Mclean, VA

Active since March 01, 2007Opted out of Medicare · through Jun 5, 2027
1340 OLD CHAIN BRIDGE RD, STE. 101, MCLEAN, VA 22101(703) 893-2273(703) 893-4559 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Pasicov M.d. NPPES

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

DR. BENJAMIN PASICOV M.D. (NPI 1487782280) is an individual general practice provider in Mclean, Virginia, licensed in Virginia (0101027134) and active in the NPI registry since March 2007. He has opted out of Medicare through June 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487782280
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BENJAMIN PASICOVCredential: M.D.
Location Address1340 OLD CHAIN BRIDGE RD, STE. 101Mclean, VA 22101-3955
Mailing Address1340 Old Chain Bridge Rd, Ste. 101Mclean, VA 22101-3955 · (703) 893-2273 · Fax (703) 893-4559
Phone(703) 893-2273
Fax(703) 893-4559
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487782280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101027134
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1340 OLD CHAIN BRIDGE RD, Mclean, VA 22101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Benjamin Pasicov M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2017 through June 5, 2027.

Opt-Out Effective DateJune 5, 2017
Opt-Out In Effect ThroughJune 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

HELENE M. STRASSMAN O.D.
Optometrist
1340 OLD CHAIN BRIDGE RD, SUITE 102
MC LEAN, VA 22101
Fairfax County (703) 893-2020
FRED E. GOLDBERG O.D., F.A.A.O., PC
Optometrist
1340 OLD CHAIN BRIDGE RD, SUITE 102
MC LEAN, VA 22101
Fairfax County (703) 893-2020
MCLEAN IMMEDIATE CARE
Family Medicine
1340 OLD CHAIN BRIDGE RD
MCLEAN, VA 22101
Fairfax County (703) 893-2273
JIAXI HU
Dentist (General Practice)
1340 OLD CHAIN BRIDGE RD
MC LEAN, VA 22101
Fairfax County (551) 482-3998
MCLEAN CHIROPRACTIC, REHAB AND MASSAGE CENTER LLC
Chiropractor
1340 OLD CHAIN BRIDGE RD, 300A
MC LEAN, VA 22101
Fairfax County (703) 662-0220
ZHAOLIANG HU DDS, PHD
Dentist
1340 OLD CHAIN BRIDGE RD, SUITE 401
MC LEAN, VA 22101
Fairfax County (703) 663-8136
DR. JERRY ANTHONY OMELON MD
Family Medicine
1340 OLD CHAIN BRIDGE RD, SUITE 101
MCLEAN, VA 22101
Fairfax County (703) 893-2273
DR. BEHYAR DAVID BADIEE D.O.
Family Medicine
1340 OLD CHAIN BRIDGE RD
MCLEAN, VA 22101
Fairfax County (703) 893-2273

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 Benjamin Pasicov's NPI number?

The NPI number for Benjamin Pasicov is 1487782280. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Benjamin Pasicov located?

Benjamin Pasicov practices at 1340 Old Chain Bridge Rd Ste. 101, Mclean, VA 22101. The listed phone number is (703) 893-2273.

What is Benjamin Pasicov's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Benjamin Pasicov enrolled in Medicare?

No. Benjamin Pasicov has opted out of Medicare through June 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Benjamin Pasicov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.