DR. STACEY JILL LUBETSKY D.M.D.
NPI 1285785626
Dentist - Pediatric Dentistry in Bradenton, FL

Q: What is Stacey Lubetsky's NPI number?

The NPI number for Stacey Lubetsky is 1285785626. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Stacey Lubetsky's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Lubetsky was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2007PECOS Enrolled

4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211(941) 405-1553 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Stacey Jill Lubetsky D.m.d. NPPES

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

DR. STACEY JILL LUBETSKY D.M.D. (NPI 1285785626) is an individual pediatric dentistry provider in Bradenton, Florida, licensed in Florida (DTP663) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Monsey.

NPPES Registry Identity

NPI1285785626

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. STACEY JILL LUBETSKYCredential: D.M.D.

Location Address4800 LAKEWOOD RANCH BLVDBradenton, FL 34211-4953

Mailing Address11914 Perennial PlLakewood Ranch, FL 34211-3220 · (732) 233-0037

Phone(941) 405-1553

Sole ProprietorNo

Enumeration DateJanuary 14, 2007

Last NPPES UpdateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1285785626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in FL · DTP663✔ Licensed in NY · 050066✔ Licensed in NJ · 22DI02284400

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.

4800 LAKEWOOD RANCH BLVD, Bradenton, FL 34211

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Secondary Practice Location 1

Location 140 Robert Pitt DrMonsey, NY 10952-3333 · Phone (732) 233-0037

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey Jill Lubetsky D.m.d. 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 34211 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

KIRK F ZELLER DDS

Dentist