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DR. MATTHEW SCOTT DETAR D.D.S.
NPI 1073770608
Dentist - Endodontics in Manassas, VA

Active since May 21, 2008PECOS Enrolled
10682 CRESTWOOD DR STE C, MANASSAS, VA 20109(703) 368-8120 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Scott Detar D.d.s. NPPES

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

DR. MATTHEW SCOTT DETAR D.D.S. (NPI 1073770608) is an individual endodontics provider in Manassas, Virginia, licensed in Virginia (0401411877) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Reston.

NPPES Registry Identity

NPI1073770608
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MATTHEW SCOTT DETARCredential: D.D.S.
Location Address10682 CRESTWOOD DR STE CManassas, VA 20109-4401
Mailing Address10682 Crestwood Dr Ste CManassas, VA 20109-4401 · (703) 368-8120
Phone(703) 368-8120
Sole ProprietorNo
Enumeration DateMay 21, 2008
Last NPPES UpdateOctober 1, 2018
✔ NPI 1073770608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in VA · 0401411877
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
10682 CRESTWOOD DR STE C, Manassas, VA 20109
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Secondary Practice Location 1

Location 111503 Sunrise Valley DrReston, VA 20191-1505 · Phone (703) 860-3200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Scott Detar D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20109 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

DR. PHILIP CHANG DMD
Dentist (Endodontics)
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109
Prince William County (703) 368-8120
DR. MICHAEL VINCENT PICCININO D.D.S.
Dentist (Endodontics)
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109
Prince William County (703) 368-8120
DR. JEFFREY ROBERT THORPE D.D.S.
Dentist (Endodontics)
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109
Prince William County (703) 368-8120
DRS. DOLLARD, PICCININO & THORPE, P.C.
Dentist (Endodontics)
10682 CRESTWOOD DR STE C
MANASSAS, VA 20109
Prince William County (703) 368-8120

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 Matthew Detar's NPI number?

The NPI number for Matthew Detar is 1073770608. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Matthew Detar located?

Matthew Detar practices at 10682 Crestwood Dr Ste C, Manassas, VA 20109. The listed phone number is (703) 368-8120.

What is Matthew Detar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Matthew Detar enrolled in Medicare?

Yes. Matthew Detar is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Detar accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Matthew Detar 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 Matthew Detar was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.