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DR. YONG-HAN KOO D.D.S.
NPI 1043428253
Dentist - Oral and Maxillofacial Surgery in Wayland, MA

Active since May 19, 2007Opted out of Medicare · through Feb 18, 2027
241 BOSTON POST RD STE 2, WAYLAND, MA 01778(508) 276-1222 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yong-han Koo D.d.s. NPPES

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

DR. YONG-HAN KOO D.D.S. (NPI 1043428253) is an individual oral and maxillofacial surgery provider in Wayland, Massachusetts, licensed in Massachusetts (DN22058) and active in the NPI registry since May 2007. He has opted out of Medicare through February 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043428253
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. YONG-HAN KOOCredential: D.D.S.
Location Address241 BOSTON POST RD STE 2Wayland, MA 01778-1836
Mailing Address241 Boston Post Rd Ste 2Wayland, MA 01778-1836 · (508) 276-1222
Phone(508) 276-1222
Sole ProprietorNo
Enumeration DateMay 19, 2007
Last NPPES UpdateDecember 19, 2011
✔ NPI 1043428253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DN22058
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
241 BOSTON POST RD STE 2, Wayland, MA 01778
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Yong-han Koo 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 February 18, 2017 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2017
Opt-Out In Effect ThroughFebruary 18, 2027Opt-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 01778 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 Yong-han Koo's NPI number?

The NPI number for Yong-han Koo is 1043428253. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Yong-han Koo located?

Yong-han Koo practices at 241 Boston Post Rd Ste 2, Wayland, MA 01778. The listed phone number is (508) 276-1222.

What is Yong-han Koo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Yong-han Koo enrolled in Medicare?

No. Yong-han Koo has opted out of Medicare through February 18, 2027. 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 Yong-han Koo accept?

Health plans from Anthem Blue Cross and Blue Sheld, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Yong-han Koo 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 Yong-han Koo was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.