DR. DAVID WILLIAM WISTROM DDS
NPI 1083632368
Dentist - General Practice in Santa Cruz, CA
About Dr. David William Wistrom Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID WILLIAM WISTROM DDS (NPI 1083632368) is an individual general practice provider in Santa Cruz, California, licensed in California (42785) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Watsonville.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
Accepted 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. David William Wistrom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95065 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.03
- Minimum New Patient Price $62.97
- Maximum New Patient Price $186.69
- Average New Patient Copayment $24
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.84
- Minimum Established Patient Price $21.02
- Maximum Established Patient Price $153.16
- Average Established Patient Copayment $19.46
- Minimum Established Patient Copayment $5.25
- Maximum Established Patient Copayment $38.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083632368, enumerated as an "individual" on July 17, 2006.
The provider is located at 1830 COMMERCIAL WAY SANTA CRUZ, CA 95065 and the phone number is (831) 464-5409.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
