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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LUBOR HLOUSEK DMD MD
NPI 1124018460
Dentist - Oral and Maxillofacial Surgery in Annapolis, MD

Active since October 27, 2005Opted out of Medicare · through Aug 1, 2027
275 WEST ST, SUITE 100, ANNAPOLIS, MD 21401(410) 268-7790(410) 268-7874 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lubor Hlousek Dmd Md NPPES

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

DR. LUBOR HLOUSEK DMD MD (NPI 1124018460) is an individual oral and maxillofacial surgery provider in Annapolis, Maryland, licensed in Maryland (12585) and active in the NPI registry since October 2005. He has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124018460
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LUBOR HLOUSEKCredential: DMD MD
Location Address275 WEST ST, SUITE 100Annapolis, MD 21401-3400
Mailing Address275 West St, Suite 100Annapolis, MD 21401-3400 · (410) 268-7790 · Fax (410) 268-7874
Phone(410) 268-7790
Fax(410) 268-7874
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124018460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 12585
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
275 WEST ST, Annapolis, MD 21401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Lubor Hlousek Dmd Md 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 August 1, 2013 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2013
Opt-Out In Effect ThroughAugust 1, 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 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 5

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

DR. KURT CHARLES JONES
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
DR. CLIFFORD STEVEN WALZER DMD
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
DR. LISA W. HILL, LLC
Psychologist (Clinical)
275 WEST ST, SUITE 304
ANNAPOLIS, MD 21401
Anne Arundel County (202) 550-2762
DR. CORNELIUS JOSEPH SULLIVAN DMD
Dentist (Oral and Maxillofacial Surgery)
275 WEST ST, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-7790
NICHOLAS E. DANIEL DDS P.C.
Dentist (General Practice)
275 WEST ST, SUITE 105
ANNAPOLIS, MD 21401
Anne Arundel County (410) 280-5370

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 Lubor Hlousek's NPI number?

The NPI number for Lubor Hlousek is 1124018460. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Lubor Hlousek located?

Lubor Hlousek practices at 275 West St Suite 100, Annapolis, MD 21401. The listed phone number is (410) 268-7790.

What is Lubor Hlousek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lubor Hlousek enrolled in Medicare?

No. Lubor Hlousek has opted out of Medicare through August 1, 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 Lubor Hlousek accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Lubor Hlousek 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 Lubor Hlousek was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.