DR. GIEDRIS KLIVECKA D.M.D.
NPI 1255544391
Dentist - General Practice in Brooklyn, NY

Active since May 07, 2007Opted out of Medicare · through May 13, 2028
408 77TH ST, SUITE A3, BROOKLYN, NY 11209(718) 748-8695(718) 748-8267 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Giedris Klivecka D.m.d. NPPES

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

DR. GIEDRIS KLIVECKA D.M.D. (NPI 1255544391) is an individual general practice provider in Brooklyn, New York, licensed in New York (028826) and active in the NPI registry since May 2007. He has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255544391
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GIEDRIS KLIVECKACredential: D.M.D.
Location Address408 77TH ST, SUITE A3Brooklyn, NY 11209-3243
Mailing Address408 77th St, Suite A3Brooklyn, NY 11209-3243 · (718) 748-8695 · Fax (718) 748-8267
Fax(718) 748-8267
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1255544391 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 · 028826
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.
408 77TH ST, Brooklyn, NY 11209

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. Giedris Klivecka D.m.d. 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 May 13, 2016 through May 13, 2028.

Opt-Out Effective DateMay 13, 2016
Opt-Out In Effect ThroughMay 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 11209 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 6

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

Family Medicine
408 77TH ST, SUITE A3
BROOKLYN, NY 11209
Early Intervention Provider Agency
408 77TH ST, B1
BROOKLYN, NY 11209
Counselor (Addiction (Substance Use Disorder))
408 77TH ST, BMT #2
BROOKLYN, NY 11209
Physical Therapist
408 77TH ST, #A3
BROOKLYN, NY 11209
Clinic/Center
408 77TH ST
BROOKLYN, NY 11209
Specialist
408 77TH ST, APT B1
BROOKLYN, NY 11209

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 Giedris Klivecka's NPI number?

The NPI number for Giedris Klivecka is 1255544391. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Giedris Klivecka located?

Giedris Klivecka practices at 408 77th St Suite A3, Brooklyn, NY 11209. The listed phone number is (718) 748-8695.

What is Giedris Klivecka's specialty?

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

Is Giedris Klivecka enrolled in Medicare?

No. Giedris Klivecka has opted out of Medicare through May 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.

When was this NPI record last updated?

The NPPES record for Giedris Klivecka 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.