DR. JASON GORDON NATAUPSKY D.M.D.
NPI 1538416912
Dentist in Kingston, PA

Q: What is Jason Nataupsky's NPI number?

The NPI number for Jason Nataupsky is 1538416912. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Q: What is Jason Nataupsky's specialty?

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

Q: Is Jason Nataupsky enrolled in Medicare?

No. Jason Nataupsky has opted out of Medicare through February 9, 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 Jason Nataupsky was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 06, 2012Opted out of Medicare · through Feb 9, 2028

575 PIERCE ST, SUITE 201, KINGSTON, PA 18704(570) 331-8100 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jason Gordon Nataupsky D.m.d. NPPES

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

DR. JASON GORDON NATAUPSKY D.M.D. (NPI 1538416912) is an individual dentist in Kingston, Pennsylvania, licensed in Pennsylvania (DS039105) and active in the NPI registry since August 2012. He has opted out of Medicare through February 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538416912

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JASON GORDON NATAUPSKYCredential: D.M.D.

Location Address575 PIERCE ST, SUITE 201Kingston, PA 18704-5700

Mailing Address575 Pierce St, Suite 201Kingston, PA 18704-5700 · (570) 331-8100

Phone(570) 331-8100

Sole ProprietorYes

Enumeration DateAugust 6, 2012

Last NPPES UpdateFebruary 25, 2021

NPPES CertifiedFebruary 25, 2021

✔ NPI 1538416912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS039105

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 22DI02510100 (NJ)

575 PIERCE ST, Kingston, PA 18704

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Other Identifiers 1

Medicaid1225070048NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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

Dr. Jason Gordon Nataupsky D.m.d. 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 February 9, 2016 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2016

Opt-Out In Effect ThroughFebruary 9, 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 18704 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 2

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

MICHAEL F ROBATIN MSN, CRNP

Nurse Practitioner (Adult Health)

575 PIERCE ST
KINGSTON, PA 18704

Luzerne County (570) 718-8676

DANIELA IONESCU DDS

Dentist (General Practice)

575 PIERCE ST
KINGSTON, PA 18704

Luzerne County (570) 331-8100

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 Jason Nataupsky's NPI number?

The NPI number for Jason Nataupsky is 1538416912. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Jason Nataupsky located?

Jason Nataupsky practices at 575 Pierce St Suite 201, Kingston, PA 18704. The listed phone number is (570) 331-8100.

What is Jason Nataupsky's specialty?

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

Is Jason Nataupsky enrolled in Medicare?

No. Jason Nataupsky has opted out of Medicare through February 9, 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 Jason Nataupsky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jason Nataupsky 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 Jason Nataupsky was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.