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ANNMARIE MATUSAK D.D.S.
NPI 1265531636
Dentist - Pediatric Dentistry in Fairfield, OH

Active since September 22, 2006PECOS Enrolled
3050 MACK RD, ML 6007, FAIRFIELD, OH 45014(513) 636-6400(513) 636-6452 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annmarie Matusak D.d.s. NPPES

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

ANNMARIE MATUSAK D.D.S. (NPI 1265531636) is an individual pediatric dentistry provider in Fairfield, Ohio, licensed in Ohio (30.020318) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265531636
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameANNMARIE MATUSAKCredential: D.D.S.
Location Address3050 MACK RD, ML 6007Fairfield, OH 45014
Mailing Address3050 Mack Rd., Ml 6007Fairfield, OH 45014 · (513) 636-6400 · Fax (513) 636-6452
Phone(513) 636-6400
Fax(513) 636-6452
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1265531636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OH · 30.020318
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3050 MACK RD, Fairfield, OH 45014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annmarie Matusak 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.

Medicare Billing Reassignment

Medicare enrollment records show Annmarie Matusak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
12 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

JANET C BOHNE RD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 557-7718
MRS. EMILY MARIE SILLIES RD, LD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 682-6980
TERA L DIPUCCIO RD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 557-7718
DR. PAULA F WEISENBERGER MD
Internal Medicine (Hematology & Oncology)
3050 MACK RD, STE 300
FAIRFIELD, OH 45014
Butler County (513) 682-4800
MS. SARAH ELIZABETH HILLE OTR/L
Occupational Therapist (Pediatrics)
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 636-6406
HALEY SCHLOTTMANN
Nurse Practitioner
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 636-6400
JENNIFER HARDIE MD
Pediatrics
3050 MACK RD, ML 11032
FAIRFIELD, OH 45014
Butler County (513) 636-8259
LAURA MICHELLE WITTERSTAETTER RD, LD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 682-6980

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 Annmarie Matusak's NPI number?

The NPI number for Annmarie Matusak is 1265531636. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Annmarie Matusak located?

Annmarie Matusak practices at 3050 Mack Rd Ml 6007, Fairfield, OH 45014. The listed phone number is (513) 636-6400.

What is Annmarie Matusak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Annmarie Matusak enrolled in Medicare?

Yes. Annmarie Matusak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annmarie Matusak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annmarie Matusak reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annmarie Matusak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annmarie Matusak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Annmarie Matusak 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 Annmarie Matusak was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.