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DR. WILLIAM CLARK LUBKEN DMD
NPI 1154389229
Dentist - Periodontics in Gig Harbor, WA

Active since May 01, 2006Opted out of Medicare · through Aug 11, 2028
5122 OLYMPIC DR NW, GIG HARBOR, WA 98335(253) 851-6667 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. William Clark Lubken Dmd NPPES

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

DR. WILLIAM CLARK LUBKEN DMD (NPI 1154389229) is an individual periodontics provider in Gig Harbor, Washington, licensed in Washington (4640) and active in the NPI registry since May 2006. He has opted out of Medicare through August 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154389229
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WILLIAM CLARK LUBKENCredential: DMD
Location Address5122 OLYMPIC DR NWGig Harbor, WA 98335-1767
Mailing Address5122 Olympic Dr NwGig Harbor, WA 98335-1768 · (253) 851-6667
Phone(253) 851-6667
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1154389229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · 4640
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.
5122 OLYMPIC DR NW, Gig Harbor, WA 98335
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William Clark Lubken Dmd 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 11, 2016 through August 11, 2028.

Opt-Out Effective DateAugust 11, 2016
Opt-Out In Effect ThroughAugust 11, 2028Opt-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 98335 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 17

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

DR. SCOTT WALTER STUDERUS DDS
Dentist (General Practice)
5122 OLYMPIC DR NW, B-104
GIG HARBOR, WA 98335
Pierce County (253) 851-2249
LORETTA YOUNG
Counselor (Addiction (Substance Use Disorder))
5122 OLYMPIC DR NW
GIG HARBOR, WA 98335
Pierce County (253) 851-2552
DR. JAMES EDWIN HUGHES DMD
Dentist
5122 OLYMPIC DR NW, B102
GIG HARBOR, WA 98335
Pierce County (253) 851-1190
DR. HADJIR HAGHPARAST HASSAS
Dentist (Endodontics)
5122 OLYMPIC DR NW, SUITE B101
GIG HARBOR, WA 98335
Pierce County (253) 851-5544
OLSEN FAMILY CHIROPRACTIC
Chiropractor
5122 OLYMPIC DR NW, SUITE B-203
GIG HARBOR, WA 98335
Pierce County (253) 509-3966
ERIC J KVINSLAND D.D.S.
Dentist (General Practice)
5122 OLYMPIC DR NW, SUITE A-201
GIG HARBOR, WA 98335
Pierce County (253) 851-9171
HUGHES AND CLARKE, PLLC
Dentist (General Practice)
5122 OLYMPIC DR NW, B102
GIG HARBOR, WA 98335
Pierce County (253) 851-1190
DR. MATTHEW JOHN STADLER D.D.S.
Dentist
5122 OLYMPIC DR NW, SUITE B-204
GIG HARBOR, WA 98335
Pierce County (253) 853-3315

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 William Lubken's NPI number?

The NPI number for William Lubken is 1154389229. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is William Lubken located?

William Lubken practices at 5122 Olympic Dr NW, Gig Harbor, WA 98335. The listed phone number is (253) 851-6667.

What is William Lubken's specialty?

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

Is William Lubken enrolled in Medicare?

No. William Lubken has opted out of Medicare through August 11, 2028. 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.

When was this NPI record last updated?

The NPPES record for William Lubken was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.