DR. KORTNI LYNN MATTESON DDS
NPI 1154760015
Dentist in Byron Center, MI

Active since June 24, 2013PECOS Enrolled
820 84TH STREET SW, BYRON CENTER, MI 49315(616) 455-7310(616) 455-0332 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kortni Lynn Matteson Dds NPPES

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

DR. KORTNI LYNN MATTESON DDS (NPI 1154760015) is an individual dentist in Byron Center, Michigan, licensed in Michigan (2901021039) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154760015
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KORTNI LYNN MATTESONCredential: DDS
Location Address820 84TH STREET SWByron Center, MI 49315
Mailing Address820 84th Street SwByron Center, MI 49315 · (616) 455-7310 · Fax (616) 455-0332
Fax(616) 455-0332
Sole ProprietorNo
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 20, 2017
NPI 1154760015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901021039
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
820 84TH STREET SW, Byron Center, MI 49315

Accepted 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)

Dr. Kortni Lynn Matteson Dds 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 49315 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Dentist
820 84TH STREET SW
BYRON CENTER, MI 49315
Dentist
820 84TH STREET SW
BYRON CENTER, MI 49315

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 Kortni Matteson's NPI number?

The NPI number for Kortni Matteson is 1154760015. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Kortni Matteson located?

Kortni Matteson practices at 820 84th Street SW, Byron Center, MI 49315. The listed phone number is (616) 455-7310.

What is Kortni Matteson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kortni Matteson enrolled in Medicare?

Yes. Kortni Matteson is registered in the Medicare PECOS enrollment system.

What insurance does Kortni Matteson accept?

Health plans from Delta Dental of Michigan list Kortni Matteson 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 Kortni Matteson was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.