DR. KATHERINE ANN O'GORMAN DDS
NPI 1659775005
Dentist - General Practice in Sparks, NV

Q: What is Katherine O'gorman's NPI number?

The NPI number for Katherine O'gorman is 1659775005. It was assigned to this individual provider in the NPPES registry on October 14, 2014. The provider is also known as Dr. Katherine Ann Jacques Dds.

Q: What is Katherine O'gorman's specialty?

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

Q: Is Katherine O'gorman enrolled in Medicare?

No. Katherine O'gorman has opted out of Medicare through July 1, 2027. 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 October 14, 2014Opted out of Medicare · through Jul 1, 2027

735 SPARKS BLVD, SPARKS, NV 89434(775) 359-3934(775) 359-4034 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Katherine Ann O'gorman Dds NPPES

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

DR. KATHERINE ANN O'GORMAN DDS (NPI 1659775005) is an individual general practice provider in Sparks, Nevada, licensed in Nevada (6544) and active in the NPI registry since October 2014. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659775005

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KATHERINE ANN O'GORMANCredential: DDS

Location Address735 SPARKS BLVDSparks, NV 89434-7930

Mailing Address3545 Lodestar LnReno, NV 89503-1224 · (775) 233-2603

Phone(775) 359-3934

Fax(775) 359-4034

Sole ProprietorNo

Enumeration DateOctober 14, 2014

✔ NPI 1659775005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NV · 6544

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.

735 SPARKS BLVD, Sparks, NV 89434

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Other Names 1

Former Name (1)Dr. Katherine Ann Jacques Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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. Katherine Ann O'gorman Dds 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 July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017

Opt-Out In Effect ThroughJuly 1, 2027Opt-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 89434 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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 6

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

DR. ANDREW RYAN CHAMPAGNE DMD

Dentist (General Practice)