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NICHOLAS A MASSOTH D.M.D.
NPI 1114957917
Dentist - Oral and Maxillofacial Pathology in Caldwell, ID

Active since July 04, 2006PECOS Enrolled
4121 CLOCK TOWER AVE, CALDWELL, ID 83607(208) 459-7800(208) 455-8452 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas A Massoth D.m.d. NPPES

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

NICHOLAS A MASSOTH D.M.D. (NPI 1114957917) is an individual oral and maxillofacial pathology provider in Caldwell, Idaho, licensed in Idaho (D 3848 OS) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114957917
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameNICHOLAS A MASSOTHCredential: D.M.D.
Location Address4121 CLOCK TOWER AVECaldwell, ID 83607-5006
Mailing Address4121 Clock Tower AveCaldwell, ID 83607-5006 · (208) 459-7800 · Fax (208) 455-8452
Phone(208) 459-7800
Fax(208) 455-8452
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1114957917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in ID · D 3848 OS
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
4121 CLOCK TOWER AVE, Caldwell, ID 83607
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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

✔

Enrolled in Medicare (PECOS)

Nicholas A Massoth D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83607 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

CANYON COUNTY ORAL MAXILLOFACIAL SURGERY, INC
Dentist (Oral and Maxillofacial Pathology)
4121 CLOCK TOWER AVE
CALDWELL, ID 83607
Canyon County (208) 459-7800

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 Nicholas Massoth's NPI number?

The NPI number for Nicholas Massoth is 1114957917. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Nicholas Massoth located?

Nicholas Massoth practices at 4121 Clock Tower Ave, Caldwell, ID 83607. The listed phone number is (208) 459-7800.

What is Nicholas Massoth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Nicholas Massoth enrolled in Medicare?

Yes. Nicholas Massoth is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Massoth 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 Florida Combined Life and 1 other insurer list Nicholas Massoth 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 Nicholas Massoth was last updated on July 9, 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.