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LEE D TATRO DDS
NPI 1205966868
Dentist in Leesburg, FL

Active since March 06, 2007Opted out of Medicare · through Nov 28, 2026
923 W DIXIE AVE, SUITE A, LEESBURG, FL 34748(352) 728-2639(352) 728-5739 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee D Tatro Dds NPPES

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

LEE D TATRO DDS (NPI 1205966868) is an individual dentist in Leesburg, Florida, licensed in Florida (6491) and active in the NPI registry since March 2007. He has opted out of Medicare through November 28, 2026.

NPPES Registry Identity

NPI1205966868
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLEE D TATROCredential: DDS
Location Address923 W DIXIE AVE, SUITE ALeesburg, FL 34748
Mailing Address923 W Dixie Ave, Suite ALeesburg, FL 34748 · (352) 728-2639 · Fax (352) 728-5739
Phone(352) 728-2639
Fax(352) 728-5739
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205966868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 6491
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.
923 W DIXIE AVE, Leesburg, FL 34748
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Lee D Tatro Dds 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 November 28, 2016 through November 28, 2026.

Opt-Out Effective DateNovember 28, 2016
Opt-Out In Effect ThroughNovember 28, 2026Opt-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 34748 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

LEE D TATRO DDS
Dentist
923 W DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 728-2639

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 Lee Tatro's NPI number?

The NPI number for Lee Tatro is 1205966868. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Lee Tatro located?

Lee Tatro practices at 923 W Dixie Ave Suite A, Leesburg, FL 34748. The listed phone number is (352) 728-2639.

What is Lee Tatro's specialty?

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

Is Lee Tatro enrolled in Medicare?

No. Lee Tatro has opted out of Medicare through November 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lee Tatro accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lee Tatro 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 Lee Tatro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.