DR. JEFFREY MARK DOLGOS DDS
NPI 1215998794
Dentist - General Practice in Orchard Park, NY

Active since April 01, 2006Opted out of Medicare · through Apr 13, 2028
3075 SOUTHWESTERN BLVD, SUITE 204, ORCHARD PARK, NY 14127(716) 675-5858(716) 675-4872 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jeffrey Mark Dolgos Dds NPPES

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

DR. JEFFREY MARK DOLGOS DDS (NPI 1215998794) is an individual general practice provider in Orchard Park, New York, licensed in New York (049211) and active in the NPI registry since April 2006. He has opted out of Medicare through April 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215998794
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFREY MARK DOLGOSCredential: DDS
Location Address3075 SOUTHWESTERN BLVD, SUITE 204Orchard Park, NY 14127-1236
Mailing Address3075 Southwestern Blvd, Suite 204Orchard Park, NY 14127-1236 · (716) 675-5858 · Fax (716) 675-4872
Fax(716) 675-4872
Sole ProprietorYes
Enumeration DateApril 1, 2006
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1215998794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 049211
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.
3075 SOUTHWESTERN BLVD, Orchard Park, NY 14127

Accepted 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. Jeffrey Mark Dolgos 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 April 13, 2026 through April 13, 2028.

Opt-Out Effective DateApril 13, 2026
Opt-Out In Effect ThroughApril 13, 2028Opt-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 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 13

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

Physician Assistant
3075 SOUTHWESTERN BLVD, SUITE 102
ORCHARD PARK, NY 14127
Otolaryngology
3075 SOUTHWESTERN BLVD, SUITE 102
ORCHARD PARK, NY 14127
Chiropractor
3075 SOUTHWESTERN BLVD, STE 200
ORCHARD PARK, NY 14127
Audiologist
3075 SOUTHWESTERN BLVD, STE 102
ORCHARD PARK, NY 14127
Internal Medicine
3075 SOUTHWESTERN BLVD, SUITE 100
ORCHARD PARK, NY 14127
Audiologist
3075 SOUTHWESTERN BLVD, SUITE 102
ORCHARD PARK, NY 14127
Speech-Language Pathologist
3075 SOUTHWESTERN BLVD, STE 204
ORCHARD PARK, NY 14127
Otolaryngology
3075 SOUTHWESTERN BLVD, SUITE 102
ORCHARD PARK, NY 14127

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 Jeffrey Dolgos's NPI number?

The NPI number for Jeffrey Dolgos is 1215998794. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Jeffrey Dolgos located?

Jeffrey Dolgos practices at 3075 Southwestern Blvd Suite 204, Orchard Park, NY 14127. The listed phone number is (716) 675-5858.

What is Jeffrey Dolgos's specialty?

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

Is Jeffrey Dolgos enrolled in Medicare?

No. Jeffrey Dolgos has opted out of Medicare through April 13, 2028. 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 Jeffrey Dolgos 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 Jeffrey Dolgos 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 Jeffrey Dolgos was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.