LARISA IACOBAN
NPI 1912660929
Physician Assistant in Clinton Township, MI

Active since October 17, 2021PECOS Enrolled
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038(586) 745-3006 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2024, Oct 17, 2021 (2 updates tracked since 2021).

About Larisa Iacoban NPPES

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

LARISA IACOBAN (NPI 1912660929) is an individual physician assistant in Clinton Township, Michigan, licensed in Michigan (5601011348) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912660929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARISA IACOBAN
Location Address43361 COMMONS DRClinton Township, MI 48038-1109
Mailing Address43361 Commons DrClinton Township, MI 48038-1109 · (586) 745-3006
Sole ProprietorNo
Enumeration DateOctober 17, 2021
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
NPI 1912660929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011348
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.

43361 COMMONS DR, Clinton Township, MI 48038

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larisa Iacoban is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48038 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Internal Medicine
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Internal Medicine
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Thoracic Surgery (Cardiothoracic Vascular Surgery)
43361 COMMONS DR
CLINTON TWP, MI 48038
Nurse Practitioner (Adult Health)
43361 COMMONS DR
CLINTON TWP, MI 48038
Specialist
43361 COMMONS DR
CLINTON TWP, MI 48038
Family Medicine
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Family Medicine
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Family Medicine (Adult Medicine)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TWP, MI 48038
Nurse Practitioner
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Acute Care)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Psychiatric/Mental Health)
43361 COMMONS DR
CLINTON TWP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TWP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TWP, MI 48038
Nurse Practitioner (Family)
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912660929, enumerated as an "individual" on October 17, 2021.

The provider is located at 43361 COMMONS DR CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 745-3006.

Physician Assistant with taxonomy code 363A00000X.