Doctor profile · Federal record
Dr. Jacob Lustgarten, PA-C
Physician Assistant · Physician Assistant · Fort Worth, TX
- NPI 1467869982
- Accepts Medicare
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 Cooper St
Fort Worth, TX 761042710
(682) 885-7080
fax (682) 885-7085 - Mailing address
-
Po Box 733784
Dallas, TX 753733784
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- April 13, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Texas #PA09208
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467869982. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $16.89 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Lustgarten's medical specialty?
Dr. Jacob Lustgarten practices Physician Assistant in Fort Worth, TX.
Where does Dr. Jacob Lustgarten practice?
Dr. Jacob Lustgarten practices at 1500 Cooper St, Fort Worth, TX 761042710. Office phone: 6828857080.
What is Dr. Jacob Lustgarten's NPI?
Dr. Jacob Lustgarten's National Provider Identifier (NPI) is 1467869982, issued by NPPES.
Does Dr. Jacob Lustgarten accept Medicare assignment?
Yes. Dr. Jacob Lustgarten accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.