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KRISTIAN LUNDGREN-KOSZEGHY DMD, MMSC.
NPI 1639187800
Dentist - Periodontics in Palo Alto, CA

Active since August 04, 2006Opted out of Medicare · through Jan 25, 2028
850 MIDDLEFIELD RD STE 1, PALO ALTO, CA 94301(650) 326-1400(650) 326-2909 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kristian Lundgren-koszeghy Dmd, Mmsc. NPPES

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

KRISTIAN LUNDGREN-KOSZEGHY DMD, MMSC. (NPI 1639187800) is an individual periodontics provider in Palo Alto, California, licensed in California (51967) and active in the NPI registry since August 2006. He has opted out of Medicare through January 25, 2028 and remains eligible to order and refer and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1639187800
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameKRISTIAN LUNDGREN-KOSZEGHYCredential: DMD, MMSC.
Location Address850 MIDDLEFIELD RD STE 1Palo Alto, CA 94301-2918
Mailing Address760 La Playa StSan Francisco, CA 94121-3262 · (415) 221-5592 · Fax (415) 221-8826
Phone(650) 326-1400
Fax(650) 326-2909
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 21, 2018
✔ NPI 1639187800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 51967
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
850 MIDDLEFIELD RD STE 1, Palo Alto, CA 94301
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Secondary Practice Location 1

Location 1760 La Playa StSan Francisco, CA 94121-3262 · Phone (415) 221-5592 · Fax (415) 221-8826

Other Identifiers 1

Other51967CA · Dental License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristian Lundgren-koszeghy Dmd, Mmsc. 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 January 25, 2018 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2018
Opt-Out In Effect ThroughJanuary 25, 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 94301 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

GHADERI KOSZEGHY PERIODONTAL PARTNERSHIP
Dentist (Periodontics)
850 MIDDLEFIELD RD STE 1
PALO ALTO, CA 94301
Santa Clara County (650) 326-1400
KRISTIAN LUNDGREN-KOSZEGHY D.M.D, M.M.SC., INC
Dentist (Periodontics)
850 MIDDLEFIELD RD STE 1
PALO ALTO, CA 94301
Santa Clara County (650) 326-1400

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 Kristian Lundgren-koszeghy's NPI number?

The NPI number for Kristian Lundgren-koszeghy is 1639187800. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Kristian Lundgren-koszeghy located?

Kristian Lundgren-koszeghy practices at 850 Middlefield Rd Ste 1, Palo Alto, CA 94301. The listed phone number is (650) 326-1400.

What is Kristian Lundgren-koszeghy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kristian Lundgren-koszeghy enrolled in Medicare?

No. Kristian Lundgren-koszeghy has opted out of Medicare through January 25, 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 Kristian Lundgren-koszeghy was last updated on November 21, 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.