DR. YELENA VLADIMIROVNA GUTNICHENKO D.M.D.
NPI 1174553481
Dentist - General Practice in Waltham, MA

Active since July 03, 2006PECOS Enrolled
695 MAIN ST, WALTHAM, MA 02451(781) 899-7070(781) 899-1802 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Yelena Vladimirovna Gutnichenko D.m.d. NPPES

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

DR. YELENA VLADIMIROVNA GUTNICHENKO D.M.D. (NPI 1174553481) is an individual general practice provider in Waltham, Massachusetts, licensed in Massachusetts (20567) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174553481
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. YELENA VLADIMIROVNA GUTNICHENKOCredential: D.M.D.
Location Address695 MAIN STWaltham, MA 02451-0609
Mailing Address695 Main StWaltham, MA 02451-0609 · (781) 899-7070 · Fax (781) 899-1802
Fax(781) 899-1802
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 22, 2019
NPI 1174553481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 20567
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.
695 MAIN ST, Waltham, MA 02451

Other Identifiers 1

Medicaid0202576MA

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. Yelena Vladimirovna Gutnichenko D.m.d. 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 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 (General Practice)
695 MAIN ST
WALTHAM, MA 02451
Dentist (Pediatric Dentistry)
695 MAIN ST
WALTHAM, MA 02451

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 Yelena Gutnichenko's NPI number?

The NPI number for Yelena Gutnichenko is 1174553481. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Yelena Gutnichenko located?

Yelena Gutnichenko practices at 695 Main St, Waltham, MA 02451. The listed phone number is (781) 899-7070.

What is Yelena Gutnichenko's specialty?

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

Is Yelena Gutnichenko enrolled in Medicare?

Yes. Yelena Gutnichenko is registered in the Medicare PECOS enrollment system.

What insurance does Yelena Gutnichenko accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Yelena Gutnichenko 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 Yelena Gutnichenko was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.