DR. LUCAS JERRY SCHWARTZ D.D.S.
NPI 1669101507
Dentist - General Practice in Tomah, WI

Active since June 07, 2022PECOS Enrolled
214 LARKIN ST, TOMAH, WI 54660(608) 372-3298 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About Dr. Lucas Jerry Schwartz D.d.s. NPPES

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

DR. LUCAS JERRY SCHWARTZ D.D.S. (NPI 1669101507) is an individual general practice provider in Tomah, Wisconsin, licensed in Wisconsin (6001026) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669101507
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LUCAS JERRY SCHWARTZCredential: D.D.S.
Location Address214 LARKIN STTomah, WI 54660-1194
Mailing Address24253 Linden AveWilton, WI 54670-8706 · (608) 387-2006
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1669101507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6001026
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.

214 LARKIN ST, Tomah, WI 54660

Accepted 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. Lucas Jerry Schwartz 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 July 22, 2022 through July 22, 2026.

Opt-Out Effective DateJuly 22, 2022
Opt-Out In Effect ThroughJuly 22, 2026Opt-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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54660 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669101507, enumerated as an "individual" on June 07, 2022.

The provider is located at 214 LARKIN ST TOMAH, WI 54660 and the phone number is (608) 372-3298.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Delta Dental of Wisconsin, Inc.. Please consult your insurance carrier or call the provider to verify.