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TYLER KALMUCK D.D.S.
NPI 1063869485
Dentist - Oral and Maxillofacial Surgery in Sheboygan, WI

Active since May 16, 2016Opted out of Medicare · through Jan 1, 2027
3637 WILGUS AVE, SHEBOYGAN, WI 53081(920) 458-8213(920) 459-9797 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2020, Aug 5, 2020, May 16, 2016 (3 updates tracked since 2016).

About Tyler Kalmuck D.d.s. NPPES

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

TYLER KALMUCK D.D.S. (NPI 1063869485) is an individual oral and maxillofacial surgery provider in Sheboygan, Wisconsin, licensed in Wisconsin (1002255-15) and active in the NPI registry since May 2016. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063869485
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTYLER KALMUCKCredential: D.D.S.
Location Address3637 WILGUS AVESheboygan, WI 53081-3050
Mailing Address3637 Wilgus AveSheboygan, WI 53081-3050 · (920) 458-8213 · Fax (920) 459-9797
Phone(920) 458-8213
Fax(920) 459-9797
Sole ProprietorNo
Enumeration DateMay 16, 2016
Last NPPES UpdateSeptember 21, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
✔ NPI 1063869485 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 WI · 1002255-15
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.
3637 WILGUS AVE, Sheboygan, WI 53081
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Tyler Kalmuck 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 January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 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 53081 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.

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 Tyler Kalmuck's NPI number?

The NPI number for Tyler Kalmuck is 1063869485. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Tyler Kalmuck located?

Tyler Kalmuck practices at 3637 Wilgus Ave, Sheboygan, WI 53081. The listed phone number is (920) 458-8213.

What is Tyler Kalmuck's specialty?

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

Is Tyler Kalmuck enrolled in Medicare?

No. Tyler Kalmuck has opted out of Medicare through January 1, 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 Tyler Kalmuck accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 2 other insurers list Tyler Kalmuck 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 Tyler Kalmuck was last updated on September 21, 2020. 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.