DR. MATTHEW CASPER MOEN DMD
NPI 1417188178
Dentist - General Practice in Lewistown, MT

Active since July 29, 2009PECOS Enrolled
215 WUNDERLIN ST, LEWISTOWN, MT 59457(406) 538-2376(406) 538-3557 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Casper Moen Dmd NPPES

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

DR. MATTHEW CASPER MOEN DMD (NPI 1417188178) is an individual general practice provider in Lewistown, Montana, licensed in Montana (2368) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417188178
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW CASPER MOENCredential: DMD
Location Address215 WUNDERLIN STLewistown, MT 59457-2200
Mailing Address215 Wunderlin StLewistown, MT 59457-2200 · (406) 538-2376 · Fax (406) 538-3557
Fax(406) 538-3557
Sole ProprietorYes
Enumeration DateJuly 29, 2009
NPI 1417188178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MT · 2368
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.
215 WUNDERLIN ST, Lewistown, MT 59457

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. Matthew Casper Moen 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 59457 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Dentist
215 WUNDERLIN ST
LEWISTOWN, MT 59457

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 Moen's NPI number?

The NPI number for Matthew Moen is 1417188178. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Matthew Moen located?

Matthew Moen practices at 215 Wunderlin St, Lewistown, MT 59457. The listed phone number is (406) 538-2376.

What is Matthew Moen's specialty?

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

Is Matthew Moen enrolled in Medicare?

Yes. Matthew Moen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Moen was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.