Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY BLAICH D.D.S., P.A.
NPI 1073587879
Dentist in Coffeyville, KS

Q: What is Gary Blaich's NPI number?

The NPI number for Gary Blaich is 1073587879. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Q: What is Gary Blaich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Gary Blaich enrolled in Medicare?

No. Gary Blaich has opted out of Medicare through January 29, 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.

Q: When was this NPI record last updated?

The NPPES record for Gary Blaich was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since February 16, 2006Opted out of Medicare · through Jan 29, 2028

1509 W 4TH ST, COFFEYVILLE, KS 67337(620) 251-0604 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Blaich D.d.s., P.a. NPPES

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

DR. GARY BLAICH D.D.S., P.A. (NPI 1073587879) is an individual dentist in Coffeyville, Kansas, licensed in Kansas (6743) and active in the NPI registry since February 2006. He has opted out of Medicare through January 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073587879

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GARY BLAICHCredential: D.D.S., P.A.

Location Address1509 W 4TH STCoffeyville, KS 67337-3307

Mailing Address1509 W 4th StCoffeyville, KS 67337-3307 · (620) 251-0604

Phone(620) 251-0604

Sole ProprietorNo

Enumeration DateFebruary 16, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1073587879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KS · 6743

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1509 W 4TH ST, Coffeyville, KS 67337

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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 Kansas, Inc., 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

Dr. Gary Blaich D.d.s., P.a. 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 29, 2016 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2016

Opt-Out In Effect ThroughJanuary 29, 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 67337 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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

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

GARY BLAICH D.D.S., P.A.

Preferred Provider Organization

1509 W 4TH ST
COFFEYVILLE, KS 67337

Montgomery County (620) 251-0606

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 Gary Blaich's NPI number?

The NPI number for Gary Blaich is 1073587879. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Gary Blaich located?

Gary Blaich practices at 1509 W 4th St, Coffeyville, KS 67337. The listed phone number is (620) 251-0604.

What is Gary Blaich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gary Blaich enrolled in Medicare?

No. Gary Blaich has opted out of Medicare through January 29, 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 Gary Blaich accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gary Blaich 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 Gary Blaich was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.