COLLIN RAYMOND HATCHER D.D.S.
NPI 1093722621
Dentist - General Practice in Eagan, MN

Active since August 03, 2006PECOS Enrolled
2127 CLIFF RD, EAGAN, MN 55122(651) 454-9028(651) 454-6212 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Collin Raymond Hatcher D.d.s. NPPES

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

COLLIN RAYMOND HATCHER D.D.S. (NPI 1093722621) is an individual general practice provider in Eagan, Minnesota, licensed in Minnesota (9223) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093722621
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCOLLIN RAYMOND HATCHERCredential: D.D.S.
Location Address2127 CLIFF RDEagan, MN 55122-2301
Mailing Address2127 Cliff RdEagan, MN 55122-2301 · (651) 454-9028
Fax(651) 454-6212
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093722621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 9223
Definition

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.

2127 CLIFF RD, Eagan, MN 55122

Other Identifiers 2

Other429140MN · United Concordia
Other23459HAMN · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Collin Raymond Hatcher 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 February 12, 2016 through February 12, 2026.

Opt-Out Effective DateFebruary 12, 2016
Opt-Out In Effect ThroughFebruary 12, 2026Opt-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 55122 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

The NPI number assigned to this healthcare provider is 1093722621, enumerated as an "individual" on August 03, 2006.

The provider is located at 2127 CLIFF RD EAGAN, MN 55122 and the phone number is (651) 454-9028.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Humana, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.