DR. DUSTIN R ALTMANN DMD
NPI 1396180436
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Q: What is Dustin Altmann's NPI number?

The NPI number for Dustin Altmann is 1396180436. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Q: What is Dustin Altmann's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Dustin Altmann enrolled in Medicare?

No. Dustin Altmann has opted out of Medicare through June 18, 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 Dustin Altmann was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 02, 2013Opted out of Medicare · through Jun 18, 2027

621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141(314) 251-6725(314) 251-6726 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017, Mar 22, 2017 (3 updates tracked since 2017).

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About Dr. Dustin R Altmann Dmd NPPES

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

DR. DUSTIN R ALTMANN DMD (NPI 1396180436) is an individual oral and maxillofacial surgery provider in Saint Louis, Missouri, licensed in Missouri (2017011732) and active in the NPI registry since May 2013. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396180436

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DUSTIN R ALTMANNCredential: DMD

Location Address621 S NEW BALLAS RD STE 16ASaint Louis, MO 63141-8239

Mailing Address621 S New Ballas Rd Ste 16aSaint Louis, MO 63141-8239 · (314) 251-6725 · Fax (314) 251-6726

Phone(314) 251-6725

Fax(314) 251-6726

Sole ProprietorYes

Enumeration DateMay 2, 2013

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1396180436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in MO · 2017011732✔ Licensed in AZ · BD-6377712-1338

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

621 S NEW BALLAS RD STE 16A, Saint Louis, MO 63141

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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

ⓘ

Opted out of Medicare

Dr. Dustin R Altmann Dmd 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 18, 2019 through June 18, 2027.

Opt-Out Effective DateJune 18, 2019

Opt-Out In Effect ThroughJune 18, 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 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 5

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

DR. JEFFREY TSAI DMD, MD

Oral & Maxillofacial Surgery