DR. BRIAN JOSEPH WALDAU D.M.D.
NPI 1578624730
Dentist in Mount Pleasant, WI

Q: What is Brian Waldau's NPI number?

The NPI number for Brian Waldau is 1578624730. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Brian Waldau's specialty?

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

Q: Is Brian Waldau enrolled in Medicare?

No. Brian Waldau has opted out of Medicare through June 26, 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 Brian Waldau was last updated on September 12, 2018. 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.

Active since December 12, 2006Opted out of Medicare · through Jun 26, 2028

1101 S AIRLINE RD, MOUNT PLEASANT, WI 53406(262) 637-9371 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brian Joseph Waldau D.m.d. NPPES

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

DR. BRIAN JOSEPH WALDAU D.M.D. (NPI 1578624730) is an individual dentist in Mount Pleasant, Wisconsin, licensed in Wisconsin (6617) and active in the NPI registry since December 2006. He has opted out of Medicare through June 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578624730

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRIAN JOSEPH WALDAUCredential: D.M.D.

Location Address1101 S AIRLINE RDMount Pleasant, WI 53406-3888

Mailing Address1101 S Airline RdMount Pleasant, WI 53406-3888 · (262) 637-9371

Phone(262) 637-9371

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateSeptember 12, 2018

✔ NPI 1578624730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 6617

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 D8772 (OR)

1101 S AIRLINE RD, Mount Pleasant, WI 53406

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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, 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

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Opted out of Medicare

Dr. Brian Joseph Waldau 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 June 26, 2018 through June 26, 2028.

Opt-Out Effective DateJune 26, 2018

Opt-Out In Effect ThroughJune 26, 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 53406 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 7

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

DR. THOMAS JAMES GORSKI DDS

Dentist