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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID PAUL LUSTBADER D.M.D.
NPI 1447212972
Dentist - Oral and Maxillofacial Surgery in Quincy, MA

Active since April 03, 2006PECOS Enrolled
270 QUINCY AVE, QUINCY, MA 02169(617) 773-9500(617) 773-2827 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Paul Lustbader D.m.d. NPPES

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

DR. DAVID PAUL LUSTBADER D.M.D. (NPI 1447212972) is an individual oral and maxillofacial surgery provider in Quincy, Massachusetts, licensed in Massachusetts (17663) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447212972
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID PAUL LUSTBADERCredential: D.M.D.
Location Address270 QUINCY AVEQuincy, MA 02169-8127
Mailing Address270 Quincy AveQuincy, MA 02169-8127 · (617) 773-9500 · Fax (617) 773-2827
Phone(617) 773-9500
Fax(617) 773-2827
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1447212972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · 17663
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
270 QUINCY AVE, Quincy, MA 02169
Open in Google Maps ↗

Other Identifiers 2

OtherX06287Bcbs
Other100016Delta Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. David Paul Lustbader D.m.d. 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 02169 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

SOUTH SHORE ORAL SURGERY ASSOCIATES CO. INC.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Clinic/Center (Dental)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
DR. MICHAEL H GU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
MICHAEL ROBERT SHEMKUS DMD
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500

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 David Lustbader's NPI number?

The NPI number for David Lustbader is 1447212972. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is David Lustbader located?

David Lustbader practices at 270 Quincy Ave, Quincy, MA 02169. The listed phone number is (617) 773-9500.

What is David Lustbader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Lustbader enrolled in Medicare?

Yes. David Lustbader is registered in the Medicare PECOS enrollment system.

What insurance does David Lustbader accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list David Lustbader 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 David Lustbader was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.