DR. ZACHARY WALGENBACH D.D.S.
NPI 1629446323
Dentist - General Practice in Hudson, WI

Q: What is Zachary Walgenbach's NPI number?

The NPI number for Zachary Walgenbach is 1629446323. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Zachary Walgenbach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Zachary Walgenbach enrolled in Medicare?

No. Zachary Walgenbach has opted out of Medicare through August 17, 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.

Active since September 11, 2015Opted out of Medicare · through Aug 17, 2028

700 2ND ST, HUDSON, WI 54016(715) 386-2515(715) 381-5055 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Zachary Walgenbach D.d.s. NPPES

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

DR. ZACHARY WALGENBACH D.D.S. (NPI 1629446323) is an individual general practice provider in Hudson, Wisconsin, licensed in Minnesota (D13515) and active in the NPI registry since September 2015. He has opted out of Medicare through August 17, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629446323

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ZACHARY WALGENBACHCredential: D.D.S.

Location Address700 2ND STHudson, WI 54016

Mailing Address700 2nd StHudson, WI 54016-1985 · (715) 386-2515 · Fax (715) 381-5055

Phone(715) 386-2515

Fax(715) 381-5055

Sole ProprietorYes

Enumeration DateSeptember 11, 2015

Last NPPES UpdateMarch 6, 2019

✔ NPI 1629446323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D13515

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

700 2ND ST, Hudson, WI 54016

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Secondary Practice Locations 2

Location 110945 Ulysses St NEBlaine, MN 55434-4185 · Phone (763) 784-1993 · Fax (763) 784-1575

Location 2700 2nd St Ste 100Hudson, WI 54016-1986 · Phone (715) 386-2515 · Fax (715) 381-5055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Renaissance Dental.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. Zachary Walgenbach D.d.s. 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 August 17, 2016 through August 17, 2028.

Opt-Out Effective DateAugust 17, 2016

Opt-Out In Effect ThroughAugust 17, 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 54016 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.

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 Zachary Walgenbach's NPI number?

The NPI number for Zachary Walgenbach is 1629446323. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Zachary Walgenbach located?

Zachary Walgenbach practices at 700 2nd St, Hudson, WI 54016. The listed phone number is (715) 386-2515.

What is Zachary Walgenbach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Zachary Walgenbach enrolled in Medicare?

No. Zachary Walgenbach has opted out of Medicare through August 17, 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 Zachary Walgenbach accept?

Health plans from Delta Dental of Wisconsin, Inc. and Renaissance Dental list Zachary Walgenbach 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 Zachary Walgenbach was last updated on March 6, 2019. 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.