DR. PETER S DOMAGALA DDS
NPI 1356415673
Dentist - Periodontics in Durango, CO

Q: What is Peter Domagala's NPI number?

The NPI number for Peter Domagala is 1356415673. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Peter Domagala's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Peter Domagala enrolled in Medicare?

No. Peter Domagala has opted out of Medicare through November 17, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Peter Domagala was last updated on September 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 20, 2006Opted out of Medicare · through Nov 17, 2026

2323 W 2ND AVE STE E, DURANGO, CO 81301(970) 403-3299 Get Directions Write a Review

NPPES record last updated: September 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Peter S Domagala Dds NPPES

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

DR. PETER S DOMAGALA DDS (NPI 1356415673) is an individual periodontics provider in Durango, Colorado, licensed in Colorado (DEN.00203804) and active in the NPI registry since November 2006. He has opted out of Medicare through November 17, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356415673

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. PETER S DOMAGALACredential: DDS

Location Address2323 W 2ND AVE STE EDurango, CO 81301-4646

Mailing Address2323 W 2nd Ave Ste EDurango, CO 81301-4646 · (970) 403-3299

Phone(970) 403-3299

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateSeptember 18, 2022

NPPES CertifiedApril 27, 2021

✔ NPI 1356415673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in CO · DEN.00203804✔ Licensed in IL · 021-001744

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2323 W 2ND AVE STE E, Durango, CO 81301

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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. Peter S Domagala 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 November 17, 2014 through November 17, 2026.

Opt-Out Effective DateNovember 17, 2014

Opt-Out In Effect ThroughNovember 17, 2026Opt-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 81301 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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

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

FOUR CORNERS DENTURES

Clinic/Center (Dental)

2323 W 2ND AVE STE E
DURANGO, CO 81301

La Plata County (970) 880-0033

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 Domagala's NPI number?

The NPI number for Peter Domagala is 1356415673. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Peter Domagala located?

Peter Domagala practices at 2323 W 2nd Ave Ste E, Durango, CO 81301. The listed phone number is (970) 403-3299.

What is Peter Domagala's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Peter Domagala enrolled in Medicare?

No. Peter Domagala has opted out of Medicare through November 17, 2026. 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 Peter Domagala was last updated on September 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.