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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. WALTER JOSEPH KUCABA DDS, MS
NPI 1124083043
Dentist - Periodontics in Spartanburg, SC

Active since April 20, 2006PECOS Enrolled
151 DILLON DR, SPARTANBURG, SC 29307(864) 585-0468(864) 585-0469 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Walter Joseph Kucaba Dds, Ms NPPES

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

DR. WALTER JOSEPH KUCABA DDS, MS (NPI 1124083043) is an individual periodontics provider in Spartanburg, South Carolina, licensed in South Carolina (0218 PERIO) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124083043
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WALTER JOSEPH KUCABACredential: DDS, MS
Location Address151 DILLON DRSpartanburg, SC 29307-1017
Mailing Address151 Dillon DrSpartanburg, SC 29307-1017 · (864) 585-0468 · Fax (864) 585-0469
Phone(864) 585-0468
Fax(864) 585-0469
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124083043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 0218 PERIO
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.

151 DILLON DR, Spartanburg, SC 29307
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Other Identifiers 1

Other0218 PERIOSC · Speciality License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter Joseph Kucaba Dds, Ms 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 29307 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 3

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

WALTER J KUCABA, DDS, MS, PA
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
151 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-0468
ALISON LLEWELYN D.M.D.
Dentist (General Practice)
151 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-0468
MEADOW CREEK FAMILY DENTISTRY OF SPARTANBURG
Clinic/Center (Dental)
151 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-0469

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 Walter Kucaba's NPI number?

The NPI number for Walter Kucaba is 1124083043. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Walter Kucaba located?

Walter Kucaba practices at 151 Dillon Dr, Spartanburg, SC 29307. The listed phone number is (864) 585-0468.

What is Walter Kucaba's specialty?

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

Is Walter Kucaba enrolled in Medicare?

Yes. Walter Kucaba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Kucaba was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.