DR. KIP T KATSEANES DMD MSD
NPI 1366824484
Dentist in Boise, ID

Q: What is Kip Katseanes's NPI number?

The NPI number for Kip Katseanes is 1366824484. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Kip Katseanes's specialty?

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

Q: Is Kip Katseanes enrolled in Medicare?

No. Kip Katseanes has opted out of Medicare through June 19, 2027. 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 Kip Katseanes was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 25, 2015Opted out of Medicare · through Jun 19, 2027

6019 N EAGLE RD, BOISE, ID 83713(208) 377-2777(208) 377-3075 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kip T Katseanes Dmd Msd NPPES

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

DR. KIP T KATSEANES DMD MSD (NPI 1366824484) is an individual dentist in Boise, Idaho, licensed in Idaho (D5185PE) and active in the NPI registry since June 2015. He has opted out of Medicare through June 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366824484

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KIP T KATSEANESCredential: DMD MSD

Location Address6019 N EAGLE RDBoise, ID 83713

Mailing Address6019 N Eagle RdBoise, ID 83713 · (208) 377-2777 · Fax (208) 377-3075

Phone(208) 377-2777

Fax(208) 377-3075

Sole ProprietorNo

Enumeration DateJune 25, 2015

Last NPPES UpdateSeptember 15, 2020

NPPES CertifiedSeptember 15, 2020

✔ NPI 1366824484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ID · D5185PE

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.

6019 N EAGLE RD, Boise, ID 83713

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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. Kip T Katseanes Dmd Msd 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 June 19, 2019 through June 19, 2027.

Opt-Out Effective DateJune 19, 2019

Opt-Out In Effect ThroughJune 19, 2027Opt-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 83713 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 8

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

ALL ABOUT YOU DENTAL, PC

Clinic/Center (Dental)