DR. DMITRY PEYSAKHOV D.M.D.
NPI 1477718229
Dentist - Oral and Maxillofacial Surgery in Issaquah, WA

Q: What is Dmitry Peysakhov's NPI number?

The NPI number for Dmitry Peysakhov is 1477718229. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Q: What is Dmitry Peysakhov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dmitry Peysakhov was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 22, 2008PECOS Enrolled

1416 HIGHLANDS DR NE, SUITE 120, ISSAQUAH, WA 98029(781) 856-8080 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Dmitry Peysakhov D.m.d. NPPES

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

DR. DMITRY PEYSAKHOV D.M.D. (NPI 1477718229) is an individual oral and maxillofacial surgery provider in Issaquah, Washington, licensed in Washington (DE 60498667) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477718229

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DMITRY PEYSAKHOVCredential: D.M.D.

Location Address1416 HIGHLANDS DR NE, SUITE 120Issaquah, WA 98029-6240

Mailing Address4047 258th Way SeIssaquah, WA 98029-7763 · (781) 856-8080

Phone(781) 856-8080

Sole ProprietorNo

Enumeration DateJuly 22, 2008

Last NPPES UpdateSeptember 2, 2015

✔ NPI 1477718229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in WA · DE 60498667✔ Licensed in PA · DS038644

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.

1416 HIGHLANDS DR NE, Issaquah, WA 98029

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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. Dmitry Peysakhov 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 98029 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

WASHINGTON DENTAL CORPORATION, PC

Dentist (General Practice)

1416 HIGHLANDS DR NE, SUITE 120
ISSAQUAH, WA 98029

King County (425) 557-9000

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 Dmitry Peysakhov's NPI number?

The NPI number for Dmitry Peysakhov is 1477718229. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Dmitry Peysakhov located?

Dmitry Peysakhov practices at 1416 Highlands Dr NE Suite 120, Issaquah, WA 98029. The listed phone number is (781) 856-8080.

What is Dmitry Peysakhov's specialty?

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

Is Dmitry Peysakhov enrolled in Medicare?

Yes. Dmitry Peysakhov is registered in the Medicare PECOS enrollment system.

What insurance does Dmitry Peysakhov accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Dmitry Peysakhov 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 Dmitry Peysakhov was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.