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SUSMITHA RAO KOTI DDS
NPI 1578878435
Dentist - Pediatric Dentistry in Eugene, OR

Active since August 16, 2010PECOS Enrolled
1740 W 17TH AVE, EUGENE, OR 97402(458) 210-3543 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susmitha Rao Koti Dds NPPES

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

SUSMITHA RAO KOTI DDS (NPI 1578878435) is an individual pediatric dentistry provider in Eugene, Oregon, licensed in Oregon (D11308) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578878435
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSUSMITHA RAO KOTICredential: DDS
Location Address1740 W 17TH AVEEugene, OR 97402-3619
Mailing Address1090 Northchase Pkwy Se, Suite 290Marietta, GA 30067-6405 · (678) 904-5665
Phone(458) 210-3543
Sole ProprietorNo
Enumeration DateAugust 16, 2010
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1578878435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OR · D11308
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN014164 (GA), 27635 (TX)
1740 W 17TH AVE, Eugene, OR 97402
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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

✔

Enrolled in Medicare (PECOS)

Susmitha Rao Koti Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97402 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 18

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

LINDA KREUTZER
Dental Hygienist
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (541) 484-1835
WEST COAST DENTAL
Dentist
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (541) 484-1835
GILES LOONEY D.D.S.
Dentist (General Practice)
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (888) 468-0022
DR. CHRISTOPHER TERRELL BAILEY D.D.S.
Dentist (General Practice)
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (888) 468-0022
ANASTASIA MOSPANOVA DDS
Dentist
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (458) 210-3543
DR. CONOR SCANLON DMD
Dentist (General Practice)
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (458) 228-3271
LAURI MICHELLE PECKELS RDH,EPP
Dental Hygienist
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (888) 468-0022
HAYDEN FAMILY DENTAL GROUP
Dentist (General Practice)
1740 W 17TH AVE
EUGENE, OR 97402
Lane County (541) 242-8904

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 Susmitha Rao Koti's NPI number?

The NPI number for Susmitha Rao Koti is 1578878435. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Susmitha Rao Koti located?

Susmitha Rao Koti practices at 1740 W 17th Ave, Eugene, OR 97402. The listed phone number is (458) 210-3543.

What is Susmitha Rao Koti's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Susmitha Rao Koti enrolled in Medicare?

Yes. Susmitha Rao Koti is registered in the Medicare PECOS enrollment system.

What insurance does Susmitha Rao Koti 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 10 other insurers list Susmitha Rao Koti 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 Susmitha Rao Koti was last updated on August 27, 2020. 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.