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KYLIE WASSERMAN D.D.S.
NPI 1417484296
Dentist in Bend, OR

Active since May 11, 2017PECOS Enrolled
3081 N HIGHWAY 97 STE 150, BEND, OR 97703(541) 797-9136(458) 202-2218 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, Dec 4, 2022, Jul 17, 2018 and 1 more (4 updates tracked since 2017).

About Kylie Wasserman D.d.s. NPPES

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

KYLIE WASSERMAN D.D.S. (NPI 1417484296) is an individual dentist in Bend, Oregon, licensed in Oregon (D10789) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417484296
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKYLIE WASSERMANCredential: D.D.S.
Location Address3081 N HIGHWAY 97 STE 150Bend, OR 97703-7569
Mailing Address3081 N Hwy 97 Ste 150Bend, OR 97703-7569 · (541) 797-9136 · Fax (458) 202-2218
Phone(541) 797-9136
Fax(458) 202-2218
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateDecember 5, 20224 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1417484296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10789
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D10789 (OR)
3081 N HIGHWAY 97 STE 150, Bend, OR 97703
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Other Identifiers 1

Other1417484296OR · Dentist, Health Care

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

✔

Enrolled in Medicare (PECOS)

Kylie Wasserman D.d.s. 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 97703 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Kylie Wasserman's NPI number?

The NPI number for Kylie Wasserman is 1417484296. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Kylie Wasserman located?

Kylie Wasserman practices at 3081 N Highway 97 Ste 150, Bend, OR 97703. The listed phone number is (541) 797-9136.

What is Kylie Wasserman's specialty?

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

Is Kylie Wasserman enrolled in Medicare?

Yes. Kylie Wasserman is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Wasserman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Dentegra Insurance Company and 3 other insurers list Kylie Wasserman 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 Kylie Wasserman was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.