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MARKO WSEWOLOD LUTZKY D.D.S.
NPI 1255604203
Dentist in New York, NY

Active since February 21, 2012PECOS Enrolled
30 EAST 40TH STREET, SUITE 706, NEW YORK, NY 10016(212) 697-8178 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marko Wsewolod Lutzky D.d.s. NPPES

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

MARKO WSEWOLOD LUTZKY D.D.S. (NPI 1255604203) is an individual dentist in New York, New York, licensed in New York (037691-1) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255604203
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARKO WSEWOLOD LUTZKYCredential: D.D.S.
Location Address30 EAST 40TH STREET, SUITE 706New York, NY 10016
Mailing Address39-26 65th StreetWoodside, NY 11377-3638 · (212) 697-8178
Phone(212) 697-8178
Sole ProprietorYes
Enumeration DateFebruary 21, 2012
✔ NPI 1255604203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 037691-1
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.
30 EAST 40TH STREET, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marko Wsewolod Lutzky D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 10

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

DR. DAVID HERBERT HERMAN D.D.S.
Dentist (General Practice)
30 EAST 40TH STREET, SUITE 606
NEW YORK, NY 10016
New York County (212) 883-0997
DR. RON GANIK DDS
Dentist (Endodontics)
30 EAST 40TH STREET, RM 506
NEW YORK, NY 10016
New York County (212) 685-8200
MR. GERARD EPELBAUM D.D.S.
Dentist
30 EAST 40TH STREET, SUITE 906
NEW YORK, NY 10016
New York County (212) 889-5966
MICHAEL WOLOCH DDS PC
Dentist (Prosthodontics)
30 EAST 40TH STREET, SUITE 805
NEW YORK, NY 10016
New York County (212) 685-3212
JACQUELINE I FULOP-GOODLING DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
30 EAST 40TH STREET, SUITE 806
NEW YORK, NY 10016
New York County (212) 972-3522
DR. MICHAEL WOLOCH DDS
Dentist (Prosthodontics)
30 EAST 40TH STREET, SUITE 805
NEW YORK, NY 10016
New York County (212) 685-3212
DR. MICHAEL LAWRENCE SINKIN DDS
Dentist
30 EAST 40TH STREET, SUITE #803
NY, NY 10016
New York County (212) 685-3040
DR. SYLVIE MARTINE EPELBAUM MD
Dermatology
30 EAST 40TH STREET, SUITE 906
NEW YORK, NY 10016
New York County (212) 448-0007

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 Marko Lutzky's NPI number?

The NPI number for Marko Lutzky is 1255604203. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Where is Marko Lutzky located?

Marko Lutzky practices at 30 East 40th Street Suite 706, New York, NY 10016. The listed phone number is (212) 697-8178.

What is Marko Lutzky's specialty?

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

Is Marko Lutzky enrolled in Medicare?

Yes. Marko Lutzky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marko Lutzky was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.