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MR. MATTHEW JAMES BRUKSCH DDS FACS
NPI 1538394580
Dentist - Oral and Maxillofacial Surgery in Rockford, IL

Active since May 20, 2009Opted out of Medicare · through Oct 15, 2027
449 ROXBURY ROAD, ROCKFORD, IL 61107(815) 226-4700(815) 391-5188 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2019, Dec 3, 2015 (2 updates tracked since 2015).

About Mr. Matthew James Bruksch Dds Facs NPPES

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

MR. MATTHEW JAMES BRUKSCH DDS FACS (NPI 1538394580) is an individual oral and maxillofacial surgery provider in Rockford, Illinois, licensed in Illinois (019.027906) and active in the NPI registry since May 2009. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538394580
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. MATTHEW JAMES BRUKSCHCredential: DDS FACS
Location Address449 ROXBURY ROADRockford, IL 61107
Mailing Address449 Roxbury RoadRockford, IL 61107 · (815) 226-4700 · Fax (815) 391-5188
Phone(815) 226-4700
Fax(815) 391-5188
Sole ProprietorNo
Enumeration DateMay 20, 2009
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1538394580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019.027906
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.
449 ROXBURY ROAD, Rockford, IL 61107
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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

ⓘ

Opted out of Medicare

Mr. Matthew James Bruksch Dds Facs 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 October 15, 2025 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2025
Opt-Out In Effect ThroughOctober 15, 2027Opt-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 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

MR. EDWARD PAUL RENTSCHLER DDS
Dentist (Oral and Maxillofacial Surgery)
449 ROXBURY ROAD
ROCKFORD, IL 61107
Winnebago County (815) 226-4700

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 Matthew Bruksch's NPI number?

The NPI number for Matthew Bruksch is 1538394580. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Matthew Bruksch located?

Matthew Bruksch practices at 449 Roxbury Road, Rockford, IL 61107. The listed phone number is (815) 226-4700.

What is Matthew Bruksch's specialty?

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

Is Matthew Bruksch enrolled in Medicare?

No. Matthew Bruksch has opted out of Medicare through October 15, 2027. 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 Matthew Bruksch 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 Matthew Bruksch 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 Matthew Bruksch was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.