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DR. MARY TUJETSCH D.D.S.
NPI 1306011622
Dentist - General Practice in Highland, IN

Active since April 28, 2008PECOS Enrolled
2023 45TH ST, HIGHLAND, IN 46322(319) 610-6038 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mary Tujetsch D.d.s. NPPES

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

DR. MARY TUJETSCH D.D.S. (NPI 1306011622) is an individual general practice provider in Highland, Indiana, licensed in Illinois (019021789) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306011622
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY TUJETSCHCredential: D.D.S.
Location Address2023 45TH STHighland, IN 46322-3712
Mailing Address200 S Wacker Dr Fl 31, C/o Christiana & AssociatesChicago, IL 60606-5867 · (319) 610-6038
Phone(319) 610-6038
Sole ProprietorYes
Enumeration DateApril 28, 2008
Last NPPES UpdateApril 29, 2010
✔ NPI 1306011622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019021789
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.
2023 45TH ST, Highland, IN 46322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Tujetsch 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 Mary Tujetsch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Dental Care PC
421 mi
Dentist
8500 W 110TH ST STE 260
Overland Park, KS 66210
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1942977632 (877) 674-1211

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 46322 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Mary Tujetsch's NPI number?

The NPI number for Mary Tujetsch is 1306011622. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Mary Tujetsch located?

Mary Tujetsch practices at 2023 45th St, Highland, IN 46322. The listed phone number is (319) 610-6038.

What is Mary Tujetsch's specialty?

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

Is Mary Tujetsch enrolled in Medicare?

Yes. Mary Tujetsch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Tujetsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tujetsch reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). 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 Mary Tujetsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Tujetsch was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.