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DR. BRIAN KELLY HUTTO DMD
NPI 1568654986
Dentist - Oral and Maxillofacial Surgery in Modesto, CA

Active since August 10, 2007Opted out of Medicare · through Nov 19, 2027
2301 ST PAULS WAY, MODESTO, CA 95355(209) 522-5238(209) 522-4703 Get Directions Write a Review

NPPES record last updated: February 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Kelly Hutto Dmd NPPES

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

DR. BRIAN KELLY HUTTO DMD (NPI 1568654986) is an individual oral and maxillofacial surgery provider in Modesto, California, licensed in California (62106) and active in the NPI registry since August 2007. He has opted out of Medicare through November 19, 2027 and remains eligible to order and refer and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).

NPPES Registry Identity

NPI1568654986
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRIAN KELLY HUTTOCredential: DMD
Location Address2301 ST PAULS WAYModesto, CA 95355-3309
Mailing Address2301 St Pauls WayModesto, CA 95355-3309 · (209) 522-5238 · Fax (209) 522-4703
Phone(209) 522-5238
Fax(209) 522-4703
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2001
Enumeration DateAugust 10, 2007
Last NPPES UpdateFebruary 4, 2024
NPPES CertifiedFebruary 4, 2024
✔ NPI 1568654986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · 62106✔ Licensed in MD · 12798
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.
2301 ST PAULS WAY, Modesto, CA 95355
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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. Brian Kelly Hutto Dmd 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 November 19, 2013 through November 19, 2027.

Opt-Out Effective DateNovember 19, 2013
Opt-Out In Effect ThroughNovember 19, 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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

BRIAN K. HUTTO, DMD, INC.
Clinic/Center (Oral and Maxillofacial Surgery)
2301 ST PAULS WAY
MODESTO, CA 95355
Stanislaus County (209) 522-5238
RENA BAINS DDS INC
Dentist (Periodontics)
2301 ST PAULS WAY
MODESTO, CA 95355
Stanislaus County (209) 578-4153

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 Brian Hutto's NPI number?

The NPI number for Brian Hutto is 1568654986. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Brian Hutto located?

Brian Hutto practices at 2301 St Pauls Way, Modesto, CA 95355. The listed phone number is (209) 522-5238.

What is Brian Hutto's specialty?

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

Is Brian Hutto enrolled in Medicare?

No. Brian Hutto has opted out of Medicare through November 19, 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.

When was this NPI record last updated?

The NPPES record for Brian Hutto was last updated on February 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.