BENJAMIN LASSOW
NPI 1659969129
Physician Assistant in Atlanta, GA

Q: What is Benjamin Lassow's NPI number?

The NPI number for Benjamin Lassow is 1659969129. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Q: What is Benjamin Lassow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Lassow was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 January 09, 2021PECOS EnrolledAccepts Medicare Assignment

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Mar 20, 2023, Feb 4, 2022 and 1 more (4 updates tracked since 2021).

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About Benjamin Lassow NPPES

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

BENJAMIN LASSOW (NPI 1659969129) is an individual physician assistant in Atlanta, Georgia, licensed in Connecticut (6023) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659969129

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN LASSOW

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1650

Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1650

Phone(404) 712-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 9, 2021

Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1659969129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CT · 6023

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1364 CLIFTON RD NE, Atlanta, GA 30322

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Benjamin Lassow 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 ID4880080993

PECOS Enrollment IDI20230411002044

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

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.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 20

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

GREGORY WESTON

Student in an Organized Health Care Education/Training Program