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MICHAEL K ROLLERT DDS
NPI 1255396768
Dentist - Oral and Maxillofacial Surgery in Thornton, CO

Active since April 18, 2006Opted out of Medicare · through Jan 1, 2028
2750 E 136TH AVE STE 101, THORNTON, CO 80241(720) 452-2144(303) 379-9051 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael K Rollert Dds NPPES

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

MICHAEL K ROLLERT DDS (NPI 1255396768) is an individual oral and maxillofacial surgery provider in Thornton, Colorado, licensed in Colorado (7699) and active in the NPI registry since April 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255396768
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL K ROLLERTCredential: DDS
Location Address2750 E 136TH AVE STE 101Thornton, CO 80241-3530
Mailing Address2750 E 136th Ave Ste 101Thornton, CO 80241-3530 · (720) 452-2144 · Fax (303) 379-9051
Phone(720) 452-2144
Fax(303) 379-9051
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
✔ NPI 1255396768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · 7699
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2750 E 136TH AVE STE 101, Thornton, CO 80241
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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 and more.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

Michael K Rollert 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 January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 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 80241 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

ROCKY MOUNTAIN ORAL & MAXILLOFACIAL SURGERY, PROF LLC
Dentist (Oral and Maxillofacial Surgery)
2750 E 136TH AVE STE 101
THORNTON, CO 80241
Adams County (720) 452-2144

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 Michael Rollert's NPI number?

The NPI number for Michael Rollert is 1255396768. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Michael Rollert located?

Michael Rollert practices at 2750 E 136th Ave Ste 101, Thornton, CO 80241. The listed phone number is (720) 452-2144.

What is Michael Rollert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Rollert enrolled in Medicare?

No. Michael Rollert has opted out of Medicare through January 1, 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 Michael Rollert accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Michael Rollert 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 Michael Rollert was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.