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DR. JOHN L. ROTTSCHALK DMD
NPI 1164560710
Dentist - General Practice in Fairview Heights, IL

Active since February 02, 2007Opted out of Medicare · through Aug 20, 2027
959 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 62208(618) 624-3838(618) 624-4478 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John L. Rottschalk Dmd NPPES

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

DR. JOHN L. ROTTSCHALK DMD (NPI 1164560710) is an individual general practice provider in Fairview Heights, Illinois, licensed in Illinois (019024742) and active in the NPI registry since February 2007. He has opted out of Medicare through August 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164560710
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN L. ROTTSCHALKCredential: DMD
Location Address959 LINCOLN HWYFairview Heights, IL 62208-2234
Mailing Address959 Lincoln HwyFairview Heights, IL 62208-2234 · (618) 624-3838 · Fax (618) 624-4478
Phone(618) 624-3838
Fax(618) 624-4478
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 9, 2014
✔ NPI 1164560710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019024742
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.
959 LINCOLN HWY, Fairview Heights, IL 62208
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Other Identifiers 1

Other208344253IL · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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. John L. Rottschalk 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 20, 2015 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2015
Opt-Out In Effect ThroughAugust 20, 2027Opt-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 62208 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 4

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

JOHN ROTTSCHALK, DMD, PC
Dentist (General Practice)
959 LINCOLN HWY
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 624-3838
ANGELA M. FROIDCOEUR D.M.D.
Dentist
959 LINCOLN HWY
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 624-3838
ROTTSCHALK DENTAL LLC
Dentist
959 LINCOLN HWY
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 624-3838
MR. CHARLES MICHAEL HICKS DDS MS
Dentist
959 LINCOLN HWY
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 624-2500

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 John Rottschalk's NPI number?

The NPI number for John Rottschalk is 1164560710. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is John Rottschalk located?

John Rottschalk practices at 959 Lincoln Hwy, Fairview Heights, IL 62208. The listed phone number is (618) 624-3838.

What is John Rottschalk's specialty?

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

Is John Rottschalk enrolled in Medicare?

No. John Rottschalk has opted out of Medicare through August 20, 2027. 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.

What insurance does John Rottschalk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Alabama and Florida Combined Life and 2 other insurers list John Rottschalk 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 John Rottschalk was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.