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DR. SAMUEL LEE KRETZSCHMAR JR. D.D.S.
NPI 1447394077
Dentist - General Practice in Melbourne, FL

Active since February 16, 2007PECOS Enrolled
4301 N WICKHAM RD, SUITE 9, MELBOURNE, FL 32935(321) 242-2236(321) 751-6072 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. Samuel Lee Kretzschmar Jr. D.d.s. NPPES

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

DR. SAMUEL LEE KRETZSCHMAR JR. D.D.S. (NPI 1447394077) is an individual general practice provider in Melbourne, Florida, licensed in Florida (DN 13915) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447394077
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL LEE KRETZSCHMAR JR.Credential: D.D.S.
Location Address4301 N WICKHAM RD, SUITE 9Melbourne, FL 32935-2400
Mailing Address4301 N Wickham Rd, Suite 9Melbourne, FL 32935-2400 · (321) 242-2236 · Fax (321) 751-6072
Phone(321) 242-2236
Fax(321) 751-6072
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447394077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN 13915
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.
4301 N WICKHAM RD, Melbourne, FL 32935
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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. Samuel Lee Kretzschmar Jr. 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 32935 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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. KATHY J STETLER DMD MSD
Dentist (Periodontics)
4301 N WICKHAM RD, STE 4
MELBOURNE, FL 32935
Brevard County (321) 255-9600

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 Samuel Kretzschmar's NPI number?

The NPI number for Samuel Kretzschmar is 1447394077. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Samuel Kretzschmar located?

Samuel Kretzschmar practices at 4301 N Wickham Rd Suite 9, Melbourne, FL 32935. The listed phone number is (321) 242-2236.

What is Samuel Kretzschmar's specialty?

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

Is Samuel Kretzschmar enrolled in Medicare?

Yes. Samuel Kretzschmar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Kretzschmar 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.