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DR. THERESE PICKART DDS
NPI 1265541205
Dentist - General Practice in Wauwatosa, WI

Active since August 30, 2006Opted out of Medicare · through Jan 11, 2028
2600 N MAYFAIR RD, SUITE 425, WAUWATOSA, WI 53226(414) 258-1008(414) 431-3478 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Therese Pickart Dds NPPES

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

DR. THERESE PICKART DDS (NPI 1265541205) is an individual general practice provider in Wauwatosa, Wisconsin, licensed in Wisconsin (4612-015) and active in the NPI registry since August 2006. She has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265541205
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THERESE PICKARTCredential: DDS
Location Address2600 N MAYFAIR RD, SUITE 425Wauwatosa, WI 53226-1309
Mailing Address2600 N Mayfair Rd, Suite 425Wauwatosa, WI 53226-1309 · (414) 258-1008 · Fax (414) 431-3478
Phone(414) 258-1008
Fax(414) 431-3478
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265541205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4612-015
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.
2600 N MAYFAIR RD, Wauwatosa, WI 53226
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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. Therese Pickart 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 11, 2016 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 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 53226 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 20

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

BERNADETTE DEMURI M.D.
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226
Milwaukee County (414) 257-0233
JAY A. MET MD
Ophthalmology
2600 N MAYFAIR RD, #350
MILWAUKEE, WI 53226
Milwaukee County (414) 777-0110
DR. JEFFREY WARD KALENAK MD
Ophthalmology (Glaucoma Specialist)
2600 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 266-4499
ASSOCIATED MENTAL HEALTH CONSULTANTS INC
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226
Milwaukee County (414) 257-0233
FOREFRONT DERMATOLOGY, S.C.
Dermatology
2600 N MAYFAIR RD, MAYFAIR NORTH TOWER, SUITE 810
MILWAUKEE, WI 53226
Milwaukee County (414) 771-1122
DR. FREDERICK H REESER M.D.
Ophthalmology
2600 N MAYFAIR RD, STE 901
MILWAUKEE, WI 53226
Milwaukee County (414) 774-3484
MIRIAM SCHECHTER M.D.
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE 305
MILWAUKEE, WI 53226
Milwaukee County (414) 257-0233
DR. RICHARD V. KNOFF D.D.S.
Dentist (Endodontics)
2600 N MAYFAIR RD, SUITE 505
WAUWATOSA, WI 53226
Milwaukee County (414) 258-1500

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 Therese Pickart's NPI number?

The NPI number for Therese Pickart is 1265541205. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Therese Pickart located?

Therese Pickart practices at 2600 N Mayfair Rd Suite 425, Wauwatosa, WI 53226. The listed phone number is (414) 258-1008.

What is Therese Pickart's specialty?

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

Is Therese Pickart enrolled in Medicare?

No. Therese Pickart has opted out of Medicare through January 11, 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 Therese Pickart 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.