JEREMY GUTOVITZ DDM
NPI 1144919465
Dentist - General Practice in Butler, MO

Active since May 03, 2023PECOS Enrolled
205 E DAKOTA ST, BUTLER, MO 64730(844) 853-8937 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2023, May 3, 2023 (2 updates tracked since 2023).

About Jeremy Gutovitz Ddm NPPES

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

JEREMY GUTOVITZ DDM (NPI 1144919465) is an individual general practice provider in Butler, Missouri, licensed in Missouri (2023022617) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144919465
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEREMY GUTOVITZCredential: DDM
Location Address205 E DAKOTA STButler, MO 64730-2113
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateMay 3, 2023
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1144919465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2023022617
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.
205 E DAKOTA ST, Butler, MO 64730

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Gutovitz Ddm 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Gutovitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1800 COMMUNITY
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64730 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Dental Hygienist
205 E DAKOTA ST
BUTLER, MO 64730
Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Clinic/Center (Federally Qualified Health Center (FQHC))
205 E DAKOTA ST
BUTLER, MO 64730
Dentist
205 E DAKOTA ST
BUTLER, MO 64730
Dentist
205 E DAKOTA ST
BUTLER, MO 64730

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 Jeremy Gutovitz's NPI number?

The NPI number for Jeremy Gutovitz is 1144919465. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Jeremy Gutovitz located?

Jeremy Gutovitz practices at 205 E Dakota St, Butler, MO 64730. The listed phone number is (844) 853-8937.

What is Jeremy Gutovitz's specialty?

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

Is Jeremy Gutovitz enrolled in Medicare?

Yes. Jeremy Gutovitz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Gutovitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Gutovitz reassigns Medicare benefits to Compass Health, Inc (Clinton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Gutovitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Gutovitz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Jeremy Gutovitz 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 Jeremy Gutovitz was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.