JASON HAROLD LUSTIG DDS MD
NPI 1750347498
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
7600 FERN AVE, BUILDING 1400, SHREVEPORT, LA 71105(318) 797-5812(318) 797-0390 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Harold Lustig Dds Md NPPES

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

JASON HAROLD LUSTIG DDS MD (NPI 1750347498) is an individual oral and maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (5776) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Dentistry/texas A&m University (1997).

NPPES Registry Identity

NPI1750347498
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJASON HAROLD LUSTIGCredential: DDS MD
Location Address7600 FERN AVE, BUILDING 1400Shreveport, LA 71105-5659
Mailing Address7600 Fern Ave, Building 1400Shreveport, LA 71105-5659 · (318) 797-5812 · Fax (318) 797-0390
Fax(318) 797-0390
Sole ProprietorNo
Medical School CMSBaylor College Of Dentistry/texas A&m UniversityGraduated 1997
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 24, 2007
NPI 1750347498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in LA · 5776 Licensed in NJ · 22D102219000 Licensed in NY · 050487 Licensed in NY · 227864
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7600 FERN AVE, Shreveport, LA 71105

Other Identifiers 2

Medicare UPINH89546
Medicare ID-Type Unspecified071249RWU

Accepted 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

Jason Harold Lustig Dds Md 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 ID8820179898
PECOS Enrollment IDI20080116000004
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 71105 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 4

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

Dentist (Oral and Maxillofacial Surgery)
7600 FERN AVE, BUILDING 1400
SHREVEPORT, LA 71105
Dentist
7600 FERN AVE, BLDG 1100
SHREVEPORT, LA 71105
Dentist (Pediatric Dentistry)
7600 FERN AVE, BUILDING 800
SHREVEPORT, LA 71105
Dentist (General Practice)
7600 FERN AVE, BLDG #1100
SHREVEPORT, LA 71105

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 Jason Lustig's NPI number?

The NPI number for Jason Lustig is 1750347498. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Jason Lustig located?

Jason Lustig practices at 7600 Fern Ave Building 1400, Shreveport, LA 71105. The listed phone number is (318) 797-5812.

What is Jason Lustig's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jason Lustig enrolled in Medicare?

Yes. Jason Lustig 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 Jason Lustig accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Delta Dental and HMO Louisiana list Jason Lustig 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.

When was this NPI record last updated?

The NPPES record for Jason Lustig was last updated on July 24, 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.