DR. JAMES MATTHEW BABUREK D.D.S.
NPI 1497719900
Dentist - General Practice in Toledo, OH
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About JAMES BABUREK
This page provides the complete NPI Profile along with additional information for James Baburek, a provider established in Toledo, Ohio with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497719900 assigned on April 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 30 021739 (OH). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1497719900 Verify this NPI
- Provider Name
- DR. JAMES MATTHEW BABUREK D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4154 SECOR RD TOLEDO, OH 43623
- Location Phone
- (419) 475-3494
- Location Fax
- (419) 475-8896
- Mailing Address
- 4154 SECOR RD TOLEDO, OH 43623
- Mailing Phone
- (419) 475-3494
- Mailing Fax
- (419) 475-8896
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2006
- Last Update Date
- 07-13-2026
- Code Navigator
A dentist like James Baburek is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 30 021739
- License State
- OH
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
James Baburek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43623 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES MATTHEW BABUREK D.D.S.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
TOLEDO, OH 43623
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497719900, enumerated as an "individual" on April 12, 2006.
The provider is located at 4154 SECOR RD TOLEDO, OH 43623 and the phone number is (419) 475-3494.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Delta Dental of Ohio, HRI Dental & Vision and. Please consult your insurance carrier or call the provider to verify.
