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DR. SUSANNE M KUPKA-MOORE D.M.D.
NPI 1477677003
Dentist - General Practice in Warsaw, NY

Active since March 19, 2007PECOS Enrolled
34 DUNCAN ST, WARSAW, NY 14569(585) 786-3676(585) 786-3896 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susanne M Kupka-moore D.m.d. NPPES

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

DR. SUSANNE M KUPKA-MOORE D.M.D. (NPI 1477677003) is an individual general practice provider in Warsaw, New York, licensed in New York (046184-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477677003
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUSANNE M KUPKA-MOORECredential: D.M.D.
Location Address34 DUNCAN STWarsaw, NY 14569-1017
Mailing Address34 Duncan StWarsaw, NY 14569-1017 · (585) 786-3676 · Fax (585) 786-3896
Phone(585) 786-3676
Fax(585) 786-3896
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1477677003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 046184-1
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.
34 DUNCAN ST, Warsaw, NY 14569
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Other Names 1

Former Name (1)Dr. Susanne M Kupka D.m.d.

Other Identifiers 2

Other161350913NY · Federal Tax Id
Medicaid02172916NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Susanne M Kupka-moore 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 14569 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 7

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

DR. MICHAEL R GBUREK D.D.S.
Dentist (General Practice)
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-3676
WY CNTY COMM HOSP
Internal Medicine
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-2290
DR. ALEXANDER SIKORA DDS
Dentist
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-3676
DR. MARK K BARONE D.D.S.
Dentist (General Practice)
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-3676
GBUREK BARONE & KUPKA DDS PC
Dentist (General Practice)
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-3676
ANN BUNNELL JUDKINS CNM, NP, MA
Advanced Practice Midwife
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-3230
DEBRA A BROWN NURSE PRACTITIONER
Nurse Practitioner
34 DUNCAN ST
WARSAW, NY 14569
Wyoming County (585) 786-2290

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 Susanne Kupka-moore's NPI number?

The NPI number for Susanne Kupka-moore is 1477677003. It was assigned to this individual provider in the NPPES registry on March 19, 2007. The provider is also known as Dr. Susanne M Kupka D.M.D..

Where is Susanne Kupka-moore located?

Susanne Kupka-moore practices at 34 Duncan St, Warsaw, NY 14569. The listed phone number is (585) 786-3676.

What is Susanne Kupka-moore's specialty?

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

Is Susanne Kupka-moore enrolled in Medicare?

Yes. Susanne Kupka-moore is registered in the Medicare PECOS enrollment system.

What insurance does Susanne Kupka-moore accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Susanne Kupka-moore 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 Susanne Kupka-moore was last updated on July 9, 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.