DR. DEREK JAMES ROGNLIEN D.D.S.
NPI 1023243896
Dentist - General Practice in Eau Claire, WI

Active since May 22, 2009Opted out of Medicare · through Dec 12, 2026
1020 MENOMONIE ST, EAU CLAIRE, WI 54703(715) 834-8161 Get Directions Write a Review

NPPES record last updated: February 22, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Derek James Rognlien D.d.s. NPPES

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

DR. DEREK JAMES ROGNLIEN D.D.S. (NPI 1023243896) is an individual general practice provider in Eau Claire, Wisconsin, licensed in Wisconsin (6379-15) and active in the NPI registry since May 2009. He has opted out of Medicare through December 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023243896
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEREK JAMES ROGNLIENCredential: D.D.S.
Location Address1020 MENOMONIE STEau Claire, WI 54703-5952
Mailing Address1020 Menomonie StEau Claire, WI 54703-5952 · (715) 834-8161
Sole ProprietorNo
Enumeration DateMay 22, 2009
Last NPPES UpdateFebruary 22, 2015
NPI 1023243896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6379-15
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.
1020 MENOMONIE ST, Eau Claire, WI 54703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Derek James Rognlien 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 December 12, 2014 through December 12, 2026.

Opt-Out Effective DateDecember 12, 2014
Opt-Out In Effect ThroughDecember 12, 2026Opt-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 54703 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703
Dentist (General Practice)
1020 MENOMONIE ST
EAU CLAIRE, WI 54703

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 Derek Rognlien's NPI number?

The NPI number for Derek Rognlien is 1023243896. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Derek Rognlien located?

Derek Rognlien practices at 1020 Menomonie St, Eau Claire, WI 54703. The listed phone number is (715) 834-8161.

What is Derek Rognlien's specialty?

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

Is Derek Rognlien enrolled in Medicare?

No. Derek Rognlien has opted out of Medicare through December 12, 2026. 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 Derek Rognlien accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 7 other insurers list Derek Rognlien 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 Derek Rognlien was last updated on February 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.