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DR. OREST M BALYTSKY D.M.D.
NPI 1639394430
Dentist - Endodontics in Petaluma, CA

Active since April 16, 2007PECOS Enrolled
1436 PROFESSIONAL DR, SUITE 304, PETALUMA, CA 94954(707) 763-2170(707) 763-7077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Orest M Balytsky D.m.d. NPPES

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

DR. OREST M BALYTSKY D.M.D. (NPI 1639394430) is an individual endodontics provider in Petaluma, California, licensed in California (52184) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639394430
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. OREST M BALYTSKYCredential: D.M.D.
Location Address1436 PROFESSIONAL DR, SUITE 304Petaluma, CA 94954-6697
Mailing Address1436 Professional Dr, Suite 304Petaluma, CA 94954-6697 · (707) 763-2170 · Fax (707) 763-7077
Phone(707) 763-2170
Fax(707) 763-7077
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639394430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 52184
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1436 PROFESSIONAL DR, Petaluma, CA 94954
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Orest M Balytsky D.m.d. 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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

DR. FRANCIS C HEGGLI D.D.S.
Dentist (General Practice)
1436 PROFESSIONAL DR, SUITE 301
PETALUMA, CA 94954
Sonoma County (707) 765-1838

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 Orest Balytsky's NPI number?

The NPI number for Orest Balytsky is 1639394430. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Orest Balytsky located?

Orest Balytsky practices at 1436 Professional Dr Suite 304, Petaluma, CA 94954. The listed phone number is (707) 763-2170.

What is Orest Balytsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Orest Balytsky enrolled in Medicare?

Yes. Orest Balytsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Orest Balytsky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.