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DR. PETRO MATSYSHYN D.D.S.
NPI 1508153099
Dentist in Hartford, CT

Active since July 05, 2011PECOS Enrolled
330 MAIN ST, HARTFORD, CT 06106(860) 899-2804 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Petro Matsyshyn D.d.s. NPPES

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

DR. PETRO MATSYSHYN D.D.S. (NPI 1508153099) is an individual dentist in Hartford, Connecticut, licensed in New Jersey (22DI02484400) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508153099
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETRO MATSYSHYNCredential: D.D.S.
Location Address330 MAIN STHartford, CT 06106-1860
Mailing Address119 Towne St, Apt. 464Stamford, CT 06902-5952
Phone(860) 899-2804
Sole ProprietorYes
Enumeration DateJuly 5, 2011
Last NPPES UpdateJuly 11, 2012
✔ NPI 1508153099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI02484400
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 010721 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
330 MAIN ST, Hartford, CT 06106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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. Petro Matsyshyn 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 06106 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 9

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

TERRIAN AMOY LEVY
Social Worker
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (413) 739-5572
KE'SHONDA BRANNON LMSW
Social Worker (Clinical)
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 470-4722
ORAL CARE DENTAL GROUP II, LLC
Dentist (General Practice)
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 444-9345
HARTFORD SMILES CENTER PLLC
Dentist
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 899-2804
DR. SUVIKA KAPUR DMD
Student in an Organized Health Care Education/Training Program
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 899-2804
CHARTER OAK DENTAL CENTER LLC
Dentist
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 899-2804
MR. ALBERT L JOHNSON JR. LCSW
Social Worker (Clinical)
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 478-1207
THELMA MARIE EPPS LADC, CAC, ICADC
Counselor (Addiction (Substance Use Disorder))
330 MAIN ST
HARTFORD, CT 06106
Capitol Planning Region (860) 983-0246

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 Petro Matsyshyn's NPI number?

The NPI number for Petro Matsyshyn is 1508153099. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Petro Matsyshyn located?

Petro Matsyshyn practices at 330 Main St, Hartford, CT 06106. The listed phone number is (860) 899-2804.

What is Petro Matsyshyn's specialty?

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

Is Petro Matsyshyn enrolled in Medicare?

Yes. Petro Matsyshyn is registered in the Medicare PECOS enrollment system.

What insurance does Petro Matsyshyn accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Petro Matsyshyn 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 Petro Matsyshyn was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.