JEREMY GUTOVITZ DDM - NPI 1144919465

Q: 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.

Q: What is Jeremy Gutovitz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Gutovitz was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

Phone(844) 853-8937

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

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.

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.

LYDIA MARIE HAAS RDH

Dental Hygienist