PETER WEISBRUCH DDS
NPI 1295886760
Dentist - General Practice in Port Orange, FL

Q: What is Peter Weisbruch's NPI number?

The NPI number for Peter Weisbruch is 1295886760. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Q: What is Peter Weisbruch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Weisbruch was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 13, 2007PECOS Enrolled

6495 LONGLAKE DRIVE, PORT ORANGE, FL 32128(386) 290-0774 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter Weisbruch Dds NPPES

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

PETER WEISBRUCH DDS (NPI 1295886760) is an individual general practice provider in Port Orange, Florida, licensed in Florida (9352) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295886760

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePETER WEISBRUCHCredential: DDS

Location Address6495 LONGLAKE DRIVEPort Orange, FL 32128

Mailing Address6495 Longlake DrivePort Orange, FL 32128 · (386) 290-0774

Phone(386) 290-0774

Sole ProprietorYes

Enumeration DateJanuary 13, 2007

Last NPPES UpdateDecember 18, 2023

✔ NPI 1295886760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 9352

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.

6495 LONGLAKE DRIVE, Port Orange, FL 32128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Peter Weisbruch Dds 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 32128 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.

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 Peter Weisbruch's NPI number?

The NPI number for Peter Weisbruch is 1295886760. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Peter Weisbruch located?

Peter Weisbruch practices at 6495 Longlake Drive, Port Orange, FL 32128. The listed phone number is (386) 290-0774.

What is Peter Weisbruch's specialty?

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

Is Peter Weisbruch enrolled in Medicare?

Yes. Peter Weisbruch is registered in the Medicare PECOS enrollment system.

What insurance does Peter Weisbruch accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Peter Weisbruch 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 Peter Weisbruch was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.