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DR. THEODORE EUGENE MIODUSKI JR. D.D.S.
NPI 1013955046
Dentist - General Practice in Loveland, CO

Active since June 03, 2006Opted out of Medicare · through Mar 22, 2028
2975 GINNALA DR STE 100, LOVELAND, CO 80538(970) 663-1000(970) 663-0615 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Eugene Mioduski Jr. D.d.s. NPPES

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

DR. THEODORE EUGENE MIODUSKI JR. D.D.S. (NPI 1013955046) is an individual general practice provider in Loveland, Colorado, licensed in Colorado (CO105715) and active in the NPI registry since June 2006. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013955046
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE EUGENE MIODUSKI JR.Credential: D.D.S.
Location Address2975 GINNALA DR STE 100Loveland, CO 80538-3300
Mailing Address2975 Ginnala Dr Ste 100Loveland, CO 80538-3300 · (970) 663-1000 · Fax (970) 663-0615
Phone(970) 663-1000
Fax(970) 663-0615
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1013955046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · CO105715
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.
2975 GINNALA DR STE 100, Loveland, CO 80538
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Theodore Eugene Mioduski Jr. D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2016 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2016
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

COLORADO DENTAL PROFESSIONALS, LLC
Dentist (General Practice)
2975 GINNALA DR STE 100
LOVELAND, CO 80538
Larimer County (970) 443-7117
DR. NICOLE MARIE FERRARA D.D.S.
Dentist (General Practice)
2975 GINNALA DR STE 100
LOVELAND, CO 80538
Larimer County (970) 663-1000
DR. RYAN S OLSON DDS
Dentist (General Practice)
2975 GINNALA DR STE 100
LOVELAND, CO 80538
Larimer County (970) 663-1000
IMPLANT AND GENERAL DENTISTRY OF NORTHERN COLORADO
Dentist (General Practice)
2975 GINNALA DR STE 100
LOVELAND, CO 80538
Larimer County (970) 663-1000

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 Theodore Mioduski's NPI number?

The NPI number for Theodore Mioduski is 1013955046. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Theodore Mioduski located?

Theodore Mioduski practices at 2975 Ginnala Dr Ste 100, Loveland, CO 80538. The listed phone number is (970) 663-1000.

What is Theodore Mioduski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Theodore Mioduski enrolled in Medicare?

No. Theodore Mioduski has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Theodore Mioduski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Theodore Mioduski 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 Theodore Mioduski was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.