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DR. KATHRYN LEIGH WILSON D.M.D.
NPI 1437446838
Dentist in Rockaway Park, NY

Active since July 06, 2011Opted out of Medicare · through Nov 6, 2027
175 BEACH 121ST ST, ROCKAWAY PARK, NY 11694(607) 368-5396 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kathryn Leigh Wilson D.m.d. NPPES

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

DR. KATHRYN LEIGH WILSON D.M.D. (NPI 1437446838) is an individual dentist in Rockaway Park, New York, licensed in New York (055474) and active in the NPI registry since July 2011. She has opted out of Medicare through November 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437446838
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATHRYN LEIGH WILSONCredential: D.M.D.
Location Address175 BEACH 121ST STRockaway Park, NY 11694-1960
Mailing Address593 Merrick RoadLynbrook, NY 11563 · (516) 561-1000
Phone(607) 368-5396
Sole ProprietorNo
Enumeration DateJuly 6, 2011
Last NPPES UpdateDecember 14, 2015
✔ NPI 1437446838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 055474
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.
175 BEACH 121ST ST, Rockaway Park, NY 11694
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Kathryn Leigh Wilson D.m.d. 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 November 6, 2015 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2015
Opt-Out In Effect ThroughNovember 6, 2027Opt-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 11694 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

DR. JULIE MCKEAN WEAVER D.O.
General Practice
175 BEACH 121ST ST
ROCKAWAY PARK, NY 11694
Queens County (347) 334-1658

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 Kathryn Wilson's NPI number?

The NPI number for Kathryn Wilson is 1437446838. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Kathryn Wilson located?

Kathryn Wilson practices at 175 Beach 121st St, Rockaway Park, NY 11694. The listed phone number is (607) 368-5396.

What is Kathryn Wilson's specialty?

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

Is Kathryn Wilson enrolled in Medicare?

No. Kathryn Wilson has opted out of Medicare through November 6, 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 Kathryn Wilson accept?

Health plans from Humana list Kathryn Wilson 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 Kathryn Wilson was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.