DR. SAMUEL J MUTCH
NPI 1467501221
Dentist in Medford, NJ

Q: What is Samuel Mutch's NPI number?

The NPI number for Samuel Mutch is 1467501221. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Samuel Mutch's specialty?

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

Q: Is Samuel Mutch enrolled in Medicare?

No. Samuel Mutch has opted out of Medicare through April 1, 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.

Q: When was this NPI record last updated?

The NPPES record for Samuel Mutch 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.

Active since January 10, 2007Opted out of Medicare · through Apr 1, 2027

308 TUCKERTON ROAD, MEDFORD, NJ 08055(609) 654-2454(609) 654-6568 Get Directions Write a Review

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

On this page

About Dr. Samuel J Mutch NPPES

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

DR. SAMUEL J MUTCH (NPI 1467501221) is an individual dentist in Medford, New Jersey, licensed in New Jersey (18508) and active in the NPI registry since January 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467501221

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SAMUEL J MUTCH

Location Address308 TUCKERTON ROADMedford, NJ 08055

Mailing Address308 Tuckerton RoadMedford, NJ 08055 · (609) 654-2454 · Fax (609) 654-6568

Phone(609) 654-2454

Fax(609) 654-6568

Sole ProprietorNo

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467501221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NJ · 18508

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.

308 TUCKERTON ROAD, Medford, NJ 08055

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Other Identifiers 1

Medicaid7585306NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Combined Life, Humana and more.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. Samuel J Mutch 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 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 08055 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

DR. CHRISTOPHER J KULAS DMD

Dentist

308 TUCKERTON ROAD
MEDFORD, NJ 08055

Burlington County (609) 654-2454

DR. THOMAS E BOYTIM DMD

Dentist

308 TUCKERTON ROAD
MEDFORD, NJ 08055

Burlington County (609) 654-2454

DR. PAUL A KIESSLING DDS

Dentist

308 TUCKERTON ROAD
MEDFORD, NJ 08055

Burlington County (609) 654-2454

DR. JOHN KUPCHA DDS

Dentist

308 TUCKERTON ROAD
MEDFORD, NJ 08055

Burlington County (609) 654-2454

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 Mutch's NPI number?

The NPI number for Samuel Mutch is 1467501221. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Samuel Mutch located?

Samuel Mutch practices at 308 Tuckerton Road, Medford, NJ 08055. The listed phone number is (609) 654-2454.

What is Samuel Mutch's specialty?

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

Is Samuel Mutch enrolled in Medicare?

No. Samuel Mutch has opted out of Medicare through April 1, 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 Samuel Mutch accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Combined Life, Humana and UnitedHealthcare list Samuel Mutch 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 Samuel Mutch 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.