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DR. LAWRENCE THOMAS PORTER DDS
NPI 1437286390
Dentist - General Practice in West Bend, WI

Active since February 27, 2007Opted out of Medicare · through Aug 6, 2026
309 N 7TH AVE, WEST BEND, WI 53095(262) 338-1164(262) 338-1646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence Thomas Porter Dds NPPES

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

DR. LAWRENCE THOMAS PORTER DDS (NPI 1437286390) is an individual general practice provider in West Bend, Wisconsin, licensed in Wisconsin (1412) and active in the NPI registry since February 2007. He has opted out of Medicare through August 6, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437286390
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LAWRENCE THOMAS PORTERCredential: DDS
Location Address309 N 7TH AVEWest Bend, WI 53095-3242
Mailing Address309 N 7th AveWest Bend, WI 53095-3242 · (262) 338-1164 · Fax (262) 338-1646
Phone(262) 338-1164
Fax(262) 338-1646
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437286390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1412
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.
309 N 7TH AVE, West Bend, WI 53095
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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. Lawrence Thomas Porter 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 August 6, 2016 through August 6, 2026.

Opt-Out Effective DateAugust 6, 2016
Opt-Out In Effect ThroughAugust 6, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KYLE JOSEPH MERRY DDS
Dentist
309 N 7TH AVE
WEST BEND, WI 53095
Washington County (262) 338-1164
DR. LEAH MARIE FAX DDS
Dentist
309 N 7TH AVE
WEST BEND, WI 53095
Washington County (262) 338-1164
DOWNTOWN FAMILY DENTAL OF WEST BEND, INC
Dentist (General Practice)
309 N 7TH AVE
WEST BEND, WI 53095
Washington County (262) 338-1164

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 Lawrence Porter's NPI number?

The NPI number for Lawrence Porter is 1437286390. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Lawrence Porter located?

Lawrence Porter practices at 309 N 7th Ave, West Bend, WI 53095. The listed phone number is (262) 338-1164.

What is Lawrence Porter's specialty?

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

Is Lawrence Porter enrolled in Medicare?

No. Lawrence Porter has opted out of Medicare through August 6, 2026. 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.

When was this NPI record last updated?

The NPPES record for Lawrence Porter 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.