DR. ROBERT A. BUKOWSKI D.D.S.
NPI 1528113685
Dentist - General Practice in Superior, WI

Q: What is Robert Bukowski's NPI number?

The NPI number for Robert Bukowski is 1528113685. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Robert Bukowski's specialty?

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

Q: Is Robert Bukowski enrolled in Medicare?

No. Robert Bukowski has opted out of Medicare through April 11, 2028. 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 Robert Bukowski 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 25, 2007Opted out of Medicare · through Apr 11, 2028

1301 TOWER AVE, SUPERIOR, WI 54880(715) 392-8926(715) 392-9107 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Robert A. Bukowski D.d.s. NPPES

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

DR. ROBERT A. BUKOWSKI D.D.S. (NPI 1528113685) is an individual general practice provider in Superior, Wisconsin, licensed in Wisconsin (3530) and active in the NPI registry since January 2007. He has opted out of Medicare through April 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528113685

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROBERT A. BUKOWSKICredential: D.D.S.

Location Address1301 TOWER AVESuperior, WI 54880-1504

Mailing Address1301 Tower AveSuperior, WI 54880-1504 · (715) 392-8926 · Fax (715) 392-9107

Phone(715) 392-8926

Fax(715) 392-9107

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528113685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3530

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.

1301 TOWER AVE, Superior, WI 54880

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Robert A. Bukowski D.d.s. 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 11, 2016 through April 11, 2028.

Opt-Out Effective DateApril 11, 2016

Opt-Out In Effect ThroughApril 11, 2028Opt-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 54880 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 3

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

CONKRIGHT & BUKOWSKI, LTD.

Dentist (General Practice)

1301 TOWER AVE
SUPERIOR, WI 54880

Douglas County (715) 392-8926

SUPERIOR FAMILY DENTISTRY, SC

Dentist (General Practice)

1301 TOWER AVE
SUPERIOR, WI 54880

Douglas County (715) 392-5151

DR. EMILY CONLEY DDS

Dentist

1301 TOWER AVE
SUPERIOR, WI 54880

Douglas County (732) 392-5151

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 Robert Bukowski's NPI number?

The NPI number for Robert Bukowski is 1528113685. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Robert Bukowski located?

Robert Bukowski practices at 1301 Tower Ave, Superior, WI 54880. The listed phone number is (715) 392-8926.

What is Robert Bukowski's specialty?

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

Is Robert Bukowski enrolled in Medicare?

No. Robert Bukowski has opted out of Medicare through April 11, 2028. 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 Robert Bukowski accept?

Health plans from Delta Dental of Wisconsin, Inc. list Robert Bukowski 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 Robert Bukowski 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.