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DR. BRYAN D PETRYSZAK DMD
NPI 1407844426
Dentist - General Practice in Portville, NY

Active since October 13, 2005PECOS Enrolled
149 S MAIN ST, PORTVILLE, NY 14770(716) 933-6787(716) 933-6933 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Bryan D Petryszak Dmd NPPES

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

DR. BRYAN D PETRYSZAK DMD (NPI 1407844426) is an individual general practice provider in Portville, New York, licensed in New York (NY0502181) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407844426
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRYAN D PETRYSZAKCredential: DMD
Location Address149 S MAIN STPortville, NY 14770-9703
Mailing Address149 S Main StPortville, NY 14770-9703 · (716) 933-6787 · Fax (716) 933-6933
Phone(716) 933-6787
Fax(716) 933-6933
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407844426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · NY0502181
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
149 S MAIN ST, Portville, NY 14770
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Other Identifiers 1

Medicaid02386001NY

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. Bryan D Petryszak Dmd 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 14770 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

PORTVILLE DENTAL PLLC
Dentist (General Practice)
149 S MAIN ST
PORTVILLE, NY 14770
Cattaraugus County (716) 933-6787

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 Bryan Petryszak's NPI number?

The NPI number for Bryan Petryszak is 1407844426. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Bryan Petryszak located?

Bryan Petryszak practices at 149 S Main St, Portville, NY 14770. The listed phone number is (716) 933-6787.

What is Bryan Petryszak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bryan Petryszak enrolled in Medicare?

Yes. Bryan Petryszak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Petryszak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.