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DR. DMITRIY ITSKOVICH DDS
NPI 1336327782
Dentist in Gaithersburg, MD

Active since February 07, 2008PECOS Enrolled
481 N FREDERICK AVE STE 104, GAITHERSBURG, MD 20877(301) 926-1407(301) 926-9035 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dmitriy Itskovich Dds NPPES

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

DR. DMITRIY ITSKOVICH DDS (NPI 1336327782) is an individual dentist in Gaithersburg, Maryland, licensed in Maryland (12967) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336327782
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DMITRIY ITSKOVICHCredential: DDS
Location Address481 N FREDERICK AVE STE 104Gaithersburg, MD 20877-2470
Mailing Address481 N Frederick Ave Ste 104Gaithersburg, MD 20877-2470 · (301) 926-1407 · Fax (301) 926-9035
Phone(301) 926-1407
Fax(301) 926-9035
Sole ProprietorNo
Enumeration DateFebruary 7, 2008
✔ NPI 1336327782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 12967
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
481 N FREDERICK AVE STE 104, Gaithersburg, MD 20877
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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. Dmitriy Itskovich 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 20877 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 Dmitriy Itskovich's NPI number?

The NPI number for Dmitriy Itskovich is 1336327782. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Dmitriy Itskovich located?

Dmitriy Itskovich practices at 481 N Frederick Ave Ste 104, Gaithersburg, MD 20877. The listed phone number is (301) 926-1407.

What is Dmitriy Itskovich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dmitriy Itskovich enrolled in Medicare?

Yes. Dmitriy Itskovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitriy Itskovich was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.