MATTHEW PEDROZA DDS
NPI 1396269429
Dentist - General Practice in Fort Worth, TX
About Matthew Pedroza Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW PEDROZA DDS (NPI 1396269429) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (32952) and active in the NPI registry since July 2017. He has opted out of Medicare through September 26, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Matthew Pedroza 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 September 26, 2017 through September 26, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matthew Pedroza's NPI number?
The NPI number for Matthew Pedroza is 1396269429. It was assigned to this individual provider in the NPPES registry on July 31, 2017.
Where is Matthew Pedroza located?
Matthew Pedroza practices at 4625 Feathercrest Dr., Fort Worth, TX 76137. The listed phone number is (817) 781-9117.
What is Matthew Pedroza's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Matthew Pedroza enrolled in Medicare?
No. Matthew Pedroza has opted out of Medicare through September 26, 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.
What insurance does Matthew Pedroza accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Matthew Pedroza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Matthew Pedroza was last updated on June 15, 2021. 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.
# Matthew Pedroza, DDS · NPI 1396269429
General Practice provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 31, 2017.
## Identity
- **NPI:** 1396269429 (Entity type: Individual)
- **Enumerated:** July 31, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 32952 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4625 FEATHERCREST DR., Fort Worth, TX 76137
- **Phone:** (817) 781-9117
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 26, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396269429) · Data from the CMS NPPES public registry.