DR. GUY J JENSEN D.D.S., M.S.
NPI 1225137227
Dentist - Oral and Maxillofacial Pathology in Fond Du Lac, WI

Active since September 22, 2006Opted out of Medicare · through Dec 31, 2027
464 S HICKORY ST, SUITE A, FOND DU LAC, WI 54935(920) 923-0111(920) 923-0366 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Guy J Jensen D.d.s., M.s. NPPES

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

DR. GUY J JENSEN D.D.S., M.S. (NPI 1225137227) is an individual oral and maxillofacial pathology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (5001856) and active in the NPI registry since September 2006. He has opted out of Medicare through December 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225137227
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. GUY J JENSENCredential: D.D.S., M.S.
Location Address464 S HICKORY ST, SUITE AFond Du Lac, WI 54935-5531
Mailing Address464 S Hickory St, Suite AFond Du Lac, WI 54935-5531 · (920) 923-0111 · Fax (920) 923-0366
Fax(920) 923-0366
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1225137227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in WI · 5001856
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

464 S HICKORY ST, Fond Du Lac, WI 54935

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. Guy J Jensen D.d.s., M.s. 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 December 31, 2015 through December 31, 2027.

Opt-Out Effective DateDecember 31, 2015
Opt-Out In Effect ThroughDecember 31, 2027Opt-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 54935 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Dentist (Oral and Maxillofacial Pathology)
464 S HICKORY ST
FOND DU LAC, WI 54935

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 Guy Jensen's NPI number?

The NPI number for Guy Jensen is 1225137227. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Guy Jensen located?

Guy Jensen practices at 464 S Hickory St Suite A, Fond Du Lac, WI 54935. The listed phone number is (920) 923-0111.

What is Guy Jensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Guy Jensen enrolled in Medicare?

No. Guy Jensen has opted out of Medicare through December 31, 2027. 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.

When was this NPI record last updated?

The NPPES record for Guy Jensen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.