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DOROTA KOPYCKA-KEDZIERAWSKI D.D.S.
NPI 1003911553
Dentist - General Practice in Rochester, NY

Active since September 13, 2006PECOS Enrolled
625 ELMWOOD AVE, BOX 683, ROCHESTER, NY 14620(585) 275-0706 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dorota Kopycka-kedzierawski D.d.s. NPPES

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

DOROTA KOPYCKA-KEDZIERAWSKI D.D.S. (NPI 1003911553) is an individual general practice provider in Rochester, New York, licensed in New York (050203) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003911553
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDOROTA KOPYCKA-KEDZIERAWSKICredential: D.D.S.
Location Address625 ELMWOOD AVE, BOX 683Rochester, NY 14620-2913
Mailing Address625 Elmwood Ave, Box 683Rochester, NY 14620-2913 · (585) 275-0706
Phone(585) 275-0706
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003911553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 050203
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

625 ELMWOOD AVE, Rochester, NY 14620
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorota Kopycka-kedzierawski D.d.s. 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

DR. CHARLES M. OSTER D.D.S.
Dentist (Prosthodontics)
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-1129
NORMAN LEDERMAN D.D.S.
Dentist (General Practice)
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
DR. GERALD NEIL GRASER DDS
Dentist (Prosthodontics)
625 ELMWOOD AVE, EASTMAN DENTAL CENTER
ROCHESTER, NY 14620
Monroe County (585) 275-5043
ELLEN PARK D.D.S.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
TODD MOORE D.D.S.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 273-3340
ROXANE KATIYA D.M.D.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
GARINE AVEDIS D.M.D.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
CHRISTINE BELL D.M.D.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-4360

Frequently Asked Questions

What is Dorota Kopycka-kedzierawski's NPI number?

The NPI number assigned to this healthcare provider is 1003911553, enumerated as an "individual" on September 13, 2006.

Where is the provider located?

The provider is located at 625 ELMWOOD AVE BOX 683 ROCHESTER, NY 14620 and the phone number is (585) 275-0706.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does Dorota Kopycka-kedzierawski accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Humana. Please consult your insurance carrier or call the provider to verify.