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DR. RICHARD C. JIRSA DDS
NPI 1093775488
Dentist - Periodontics in Prescott, AZ

Active since March 28, 2006Opted out of Medicare · through Oct 17, 2027
1229 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 778-2340(928) 778-3646 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard C. Jirsa Dds NPPES

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

DR. RICHARD C. JIRSA DDS (NPI 1093775488) is an individual periodontics provider in Prescott, Arizona, licensed in Arizona (3843) and active in the NPI registry since March 2006. He has opted out of Medicare through October 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093775488
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. RICHARD C. JIRSACredential: DDS
Location Address1229 WILLOW CREEK RDPrescott, AZ 86301-1427
Mailing Address1229 Willow Creek RdPrescott, AZ 86301-1427 · (928) 778-2340 · Fax (928) 778-3646
Phone(928) 778-2340
Fax(928) 778-3646
Sole ProprietorYes
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 25, 2009
✔ NPI 1093775488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AZ · 3843
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1229 WILLOW CREEK RD, Prescott, AZ 86301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.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. Richard C. Jirsa 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 October 17, 2017 through October 17, 2027.

Opt-Out Effective DateOctober 17, 2017
Opt-Out In Effect ThroughOctober 17, 2027Opt-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 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

KYLE P CARTER DMD PLLC
Clinic/Center (Dental)
1229 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-4110
PRESCOTT PERIODONTICS & IMPLANT DENTISTRY, PLLC
Dentist (Periodontics)
1229 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-2340

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 Richard Jirsa's NPI number?

The NPI number for Richard Jirsa is 1093775488. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Richard Jirsa located?

Richard Jirsa practices at 1229 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 778-2340.

What is Richard Jirsa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Richard Jirsa enrolled in Medicare?

No. Richard Jirsa has opted out of Medicare through October 17, 2027. 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 Richard Jirsa accept?

Health plans from Delta Dental of Arizona list Richard Jirsa 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 Richard Jirsa was last updated on February 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.