DR. CORIE ANN VITKOVIC D.M.D
NPI 1669621983
Dentist - General Practice in Yakima, WA

Q: What is Corie Vitkovic's NPI number?

The NPI number for Corie Vitkovic is 1669621983. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Q: What is Corie Vitkovic's specialty?

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

Q: Is Corie Vitkovic enrolled in Medicare?

No. Corie Vitkovic has opted out of Medicare through May 9, 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.

Q: When was this NPI record last updated?

The NPPES record for Corie Vitkovic was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 10, 2008Opted out of Medicare · through May 9, 2028

1417 LAKESIDE CT, YAKIMA, WA 98902(509) 494-0121(509) 494-0171 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Corie Ann Vitkovic D.m.d NPPES

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

DR. CORIE ANN VITKOVIC D.M.D (NPI 1669621983) is an individual general practice provider in Yakima, Washington, licensed in Washington (60035282) and active in the NPI registry since September 2008. She has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669621983

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CORIE ANN VITKOVICCredential: D.M.D

Location Address1417 LAKESIDE CTYakima, WA 98902-7354

Mailing Address1417 Lakeside CtYakima, WA 98902-7354 · (509) 494-0121 · Fax (509) 494-0171

Phone(509) 494-0121

Fax(509) 494-0171

Sole ProprietorYes

Enumeration DateSeptember 10, 2008

✔ NPI 1669621983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · 60035282

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.

1417 LAKESIDE CT, Yakima, WA 98902

Open in Google Maps ↗

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. Corie Ann Vitkovic D.m.d 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 May 9, 2016 through May 9, 2028.

Opt-Out Effective DateMay 9, 2016

Opt-Out In Effect ThroughMay 9, 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 98902 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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. STEVEN T KITTS DDS

Dentist (General Practice)