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DR. RONALD L. ROHOLT DDS, MD
NPI 1629057088
Dentist - Oral and Maxillofacial Surgery in Garden City, KS

Active since January 13, 2006Opted out of Medicare · through Feb 7, 2028
311 CAMPUS DRIVE, SUITE 101, GARDEN CITY, KS 67846(620) 272-0100(620) 271-0160 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Ronald L. Roholt Dds, Md NPPES

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

DR. RONALD L. ROHOLT DDS, MD (NPI 1629057088) is an individual oral and maxillofacial surgery provider in Garden City, Kansas, licensed in Kansas (60343) and active in the NPI registry since January 2006. He has opted out of Medicare through February 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629057088
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RONALD L. ROHOLTCredential: DDS, MD
Location Address311 CAMPUS DRIVE, SUITE 101Garden City, KS 67846
Mailing Address311 Campus Drive, Suite 101Garden City, KS 67846 · (620) 272-0100 · Fax (620) 271-0160
Phone(620) 272-0100
Fax(620) 271-0160
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateNovember 18, 2016
✔ NPI 1629057088 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 KS · 60343
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.
311 CAMPUS DRIVE, Garden City, KS 67846
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN116901KS
Medicare UPINV06414KS

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. Ronald L. Roholt Dds, Md 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 7, 2012 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2012
Opt-Out In Effect ThroughFebruary 7, 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 67846 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

MELISSA MAE MOUTRAY MD DDS
Oral & Maxillofacial Surgery
311 CAMPUS DRIVE, SUITE 101
GARDEN CITY, KS 67846
Finney County (602) 272-0100

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 Ronald Roholt's NPI number?

The NPI number for Ronald Roholt is 1629057088. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Ronald Roholt located?

Ronald Roholt practices at 311 Campus Drive Suite 101, Garden City, KS 67846. The listed phone number is (620) 272-0100.

What is Ronald Roholt's specialty?

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

Is Ronald Roholt enrolled in Medicare?

No. Ronald Roholt has opted out of Medicare through February 7, 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.

When was this NPI record last updated?

The NPPES record for Ronald Roholt was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.