DR. ROXANE E KOTZIN DMD
NPI 1174807861
Dentist - General Practice in Portland, OR

Q: What is Roxane Kotzin's NPI number?

The NPI number for Roxane Kotzin is 1174807861. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Q: What is Roxane Kotzin'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 Roxane Kotzin was last updated on April 28, 2015. 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.

Active since September 29, 2011PECOS Enrolled

4104 SE 82ND AVE STE 450, PORTLAND, OR 97266(503) 771-4324(503) 771-4458 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Roxane E Kotzin Dmd NPPES

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

DR. ROXANE E KOTZIN DMD (NPI 1174807861) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D9629) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174807861

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROXANE E KOTZINCredential: DMD

Location Address4104 SE 82ND AVE STE 450Portland, OR 97266-2958

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2125 · Fax (503) 952-2237

Phone(503) 771-4324

Fax(503) 771-4458

Sole ProprietorNo

Enumeration DateSeptember 29, 2011

Last NPPES UpdateApril 28, 2015

✔ NPI 1174807861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D9629

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.

4104 SE 82ND AVE STE 450, Portland, OR 97266

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Dr. Roxane E Kotzin Dmd 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 97266 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 3

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

DR. SUSHILPA MANGINENI DDS

Dentist (General Practice)

4104 SE 82ND AVE STE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

MISS RANDI MICHELLE PETTY RDH

Dental Hygienist

4104 SE 82ND AVE STE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

JOHN YU

Dental Hygienist

4104 SE 82ND AVE STE 450
PORTLAND, OR 97266

Multnomah County (503) 777-0761

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 Roxane Kotzin's NPI number?

The NPI number for Roxane Kotzin is 1174807861. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Roxane Kotzin located?

Roxane Kotzin practices at 4104 SE 82nd Ave Ste 450, Portland, OR 97266. The listed phone number is (503) 771-4324.

What is Roxane Kotzin's specialty?

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

Is Roxane Kotzin enrolled in Medicare?

Yes. Roxane Kotzin is registered in the Medicare PECOS enrollment system.

What insurance does Roxane Kotzin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Roxane Kotzin 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 Roxane Kotzin was last updated on April 28, 2015. 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.