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TIMOTHY MICHAEL LETHIN
NPI 1104838077
Dentist - General Practice in Anchorage, AK

Active since August 12, 2006Opted out of Medicare · through Feb 22, 2028
2601 BONIFACE PKWY, ANCHORAGE, AK 99504(907) 337-9474(907) 337-9476 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Michael Lethin NPPES

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

TIMOTHY MICHAEL LETHIN (NPI 1104838077) is an individual general practice provider in Anchorage, Alaska, licensed in Alaska (1133) and active in the NPI registry since August 2006. He has opted out of Medicare through February 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104838077
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY MICHAEL LETHIN
Location Address2601 BONIFACE PKWYAnchorage, AK 99504-3106
Mailing Address2601 Boniface PkwyAnchorage, AK 99504-3106 · (907) 337-9474 · Fax (907) 337-9476
Phone(907) 337-9474
Fax(907) 337-9476
Sole ProprietorYes
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104838077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 1133
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.
2601 BONIFACE PKWY, Anchorage, AK 99504
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Other Names 1

Other Name (5)Dr. Timothy Michael Lethin Dds

Other Identifiers 2

MedicaidDD6052AK
Other1622826AK · Ucci

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Timothy Michael Lethin 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 22, 2016 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2016
Opt-Out In Effect ThroughFebruary 22, 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 99504 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 6

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

ALISON SEIDL WALSH DDS
Dentist
2601 BONIFACE PKWY, SUITE 1
ANCHORAGE, AK 99504
Anchorage Municipality (907) 337-9448
DR. GERALD M STRANIK DDS
Dentist (General Practice)
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 337-9474
BEN BELFIGLIO DDS LLC
Dentist
2601 BONIFACE PKWY, SUITE 3
ANCHORAGE, AK 99504
Anchorage Municipality (907) 333-9591
PHILLIP H. MABRY DDS
Dentist (General Practice)
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 337-9448
LARA M. MABRY DDS
Dentist
2601 BONIFACE PKWY
ANCHORAGE, AK 99504
Anchorage Municipality (907) 337-9448
TIMOTHY M LETHIN DDS PC
Dentist
2601 BONIFACE PKWY, SUITE 2
ANCHORAGE, AK 99504
Anchorage Municipality (907) 337-9474

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 Timothy Lethin's NPI number?

The NPI number for Timothy Lethin is 1104838077. It was assigned to this individual provider in the NPPES registry on August 12, 2006. The provider is also known as Dr. Timothy Michael Lethin Dds.

Where is Timothy Lethin located?

Timothy Lethin practices at 2601 Boniface Pkwy, Anchorage, AK 99504. The listed phone number is (907) 337-9474.

What is Timothy Lethin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Timothy Lethin enrolled in Medicare?

No. Timothy Lethin has opted out of Medicare through February 22, 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 Timothy Lethin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Alaska and 4 other insurers list Timothy Lethin 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 Timothy Lethin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.