DR. JAY FEDOROWICZ DDS
NPI 1417947789
Dentist - Oral and Maxillofacial Surgery in Fairfield, CA
About Dr. Jay Fedorowicz Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAY FEDOROWICZ DDS (NPI 1417947789) is an individual oral and maxillofacial surgery provider in Fairfield, California, licensed in Washington (9711) and active in the NPI registry since October 2005. He has opted out of Medicare through February 28, 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
Dr. Jay Fedorowicz 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 February 28, 2023 through February 28, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
FAIRFIELD, CA 94535
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 Jay Fedorowicz's NPI number?
The NPI number for Jay Fedorowicz is 1417947789. It was assigned to this individual provider in the NPPES registry on October 26, 2005.
Where is Jay Fedorowicz located?
Jay Fedorowicz practices at 101 Bodin Cir, Fairfield, CA 94535. The listed phone number is (074) 237-1037.
What is Jay Fedorowicz's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jay Fedorowicz enrolled in Medicare?
No. Jay Fedorowicz has opted out of Medicare through February 28, 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 Jay Fedorowicz 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, Humana and Renaissance Dental and 1 other insurer list Jay Fedorowicz 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 Jay Fedorowicz was last updated on November 9, 2021. 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.
# Dr. Jay Fedorowicz, DDS · NPI 1417947789
Oral and Maxillofacial Surgery provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1417947789 (Entity type: Individual)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 9711 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BODIN CIR, Fairfield, CA 94535-1809
- **Phone:** (074) 237-1037
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 28, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417947789) · Data from the CMS NPPES public registry.