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DR. PATRICK PIETRZAK
NPI 1003589367
Dentist in Saint Augustine, FL

Active since July 31, 2021PECOS Enrolled
8286 A1A S, SAINT AUGUSTINE, FL 32080(952) 843-3057 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Patrick Pietrzak NPPES

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

DR. PATRICK PIETRZAK (NPI 1003589367) is an individual dentist in Saint Augustine, Florida, licensed in Florida (DN26052) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003589367
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PATRICK PIETRZAK
Location Address8286 A1A SSaint Augustine, FL 32080-8307
Mailing Address8286 A1a SSaint Augustine, FL 32080-8307 · (952) 843-3057
Phone(952) 843-3057
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 31, 2021
NPPES CertifiedJuly 31, 2021
✔ NPI 1003589367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN26052
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8286 A1A S, Saint Augustine, FL 32080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Pietrzak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002308665
PECOS Enrollment IDI20251121002754
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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Pietrzak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Ihs Phoenix Area
1,979 mi
Clinic/Center
401 PICACHO ROAD
Winterhaven, CA 92283
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1265719918 (760) 572-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Patrick Pietrzak's NPI number?

The NPI number for Patrick Pietrzak is 1003589367. It was assigned to this individual provider in the NPPES registry on July 31, 2021.

Where is Patrick Pietrzak located?

Patrick Pietrzak practices at 8286 A1a S, Saint Augustine, FL 32080. The listed phone number is (952) 843-3057.

What is Patrick Pietrzak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Patrick Pietrzak enrolled in Medicare?

Yes. Patrick Pietrzak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Pietrzak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Pietrzak reassigns Medicare benefits to Dhhs Phs Ihs Phoenix Area (Winterhaven, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Pietrzak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Pietrzak was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.