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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATEUSZ KOLODZIEJCZYK DMD
NPI 1194515817
Dentist in Radium Springs, NM

Active since May 07, 2025PECOS Enrolled
12080 LB LINDBECK RD, RADIUM SPRINGS, NM 88054(575) 526-6200(575) 526-2266 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2026, May 7, 2025 (2 updates tracked since 2025).

About Mateusz Kolodziejczyk Dmd NPPES

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

MATEUSZ KOLODZIEJCZYK DMD (NPI 1194515817) is an individual dentist in Radium Springs, New Mexico, licensed in New Mexico (DB-2026-0109) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194515817
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMATEUSZ KOLODZIEJCZYKCredential: DMD
Location Address12080 LB LINDBECK RDRadium Springs, NM 88054
Mailing AddressPo Box 370Hatch, NM 87937-0370 · (575) 267-3280 · Fax (575) 267-1747
Phone(575) 526-6200
Fax(575) 526-2266
Sole ProprietorNo
Enumeration DateMay 7, 2025
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1194515817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DB-2026-0109
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.
12080 LB LINDBECK RD, Radium Springs, NM 88054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.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)

Mateusz Kolodziejczyk 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 88054 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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

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

BEN ARCHER HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
12080 LB LINDBECK RD
RADIUM SPRINGS, NM 88054
Doña Ana County (575) 267-3280

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 Mateusz Kolodziejczyk's NPI number?

The NPI number for Mateusz Kolodziejczyk is 1194515817. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Mateusz Kolodziejczyk located?

Mateusz Kolodziejczyk practices at 12080 Lb Lindbeck Rd, Radium Springs, NM 88054. The listed phone number is (575) 526-6200.

What is Mateusz Kolodziejczyk's specialty?

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

Is Mateusz Kolodziejczyk enrolled in Medicare?

Yes. Mateusz Kolodziejczyk is registered in the Medicare PECOS enrollment system.

What insurance does Mateusz Kolodziejczyk accept?

Health plans from Florida Combined Life and Humana list Mateusz Kolodziejczyk 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 Mateusz Kolodziejczyk was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.