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DR. DAVID WAYNE KOSTOHRYZ JR. DDS
NPI 1083894224
Dentist in Houston, TX

Active since November 05, 2007Opted out of Medicare · through Mar 13, 2028
2629 ALBANS RD, HOUSTON, TX 77005(832) 489-0242 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. David Wayne Kostohryz Jr. Dds NPPES

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

DR. DAVID WAYNE KOSTOHRYZ JR. DDS (NPI 1083894224) is an individual dentist in Houston, Texas, licensed in Texas (22483) and active in the NPI registry since November 2007. He has opted out of Medicare through March 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083894224
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID WAYNE KOSTOHRYZ JR.Credential: DDS
Location Address2629 ALBANS RDHouston, TX 77005-1307
Mailing Address2629 Albans RdHouston, TX 77005-1307
Phone(832) 489-0242
Sole ProprietorYes
Enumeration DateNovember 5, 2007
✔ NPI 1083894224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 22483
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.
2629 ALBANS RD, Houston, TX 77005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana.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. David Wayne Kostohryz Jr. Dds 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 March 13, 2014 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2014
Opt-Out In Effect ThroughMarch 13, 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 77005 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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 David Kostohryz's NPI number?

The NPI number for David Kostohryz is 1083894224. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is David Kostohryz located?

David Kostohryz practices at 2629 Albans Rd, Houston, TX 77005. The listed phone number is (832) 489-0242.

What is David Kostohryz's specialty?

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

Is David Kostohryz enrolled in Medicare?

No. David Kostohryz has opted out of Medicare through March 13, 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 David Kostohryz accept?

Health plans from Guardian and Humana list David Kostohryz 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 David Kostohryz was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.