DR. KYLE P SCHROEDER D.D.S.
NPI 1679543714
Dentist - Endodontics in Oshkosh, WI

Active since January 23, 2006Opted out of Medicare · through Apr 24, 2027
600 S MAIN ST, OSHKOSH, WI 54902(920) 233-8882(920) 303-2736 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kyle P Schroeder D.d.s. NPPES

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

DR. KYLE P SCHROEDER D.D.S. (NPI 1679543714) is an individual endodontics provider in Oshkosh, Wisconsin, licensed in Wisconsin (3873) and active in the NPI registry since January 2006. He has opted out of Medicare through April 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679543714
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KYLE P SCHROEDERCredential: D.D.S.
Location Address600 S MAIN STOshkosh, WI 54902-6074
Mailing Address600 S Main StOshkosh, WI 54902-6074 · (920) 233-8882 · Fax (920) 303-2736
Fax(920) 303-2736
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateNovember 16, 2011
NPI 1679543714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in WI · 3873
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.

600 S MAIN ST, Oshkosh, WI 54902

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. Kyle P Schroeder 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 April 24, 2017 through April 24, 2027.

Opt-Out Effective DateApril 24, 2017
Opt-Out In Effect ThroughApril 24, 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 54902 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

Dentist (Endodontics)
600 S MAIN ST
OSHKOSH, WI 54902
Dentist (Endodontics)
600 S MAIN ST
OSHKOSH, WI 54902
Dentist (Endodontics)
600 S MAIN ST
OSHKOSH, WI 54902

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 Kyle Schroeder's NPI number?

The NPI number for Kyle Schroeder is 1679543714. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Kyle Schroeder located?

Kyle Schroeder practices at 600 S Main St, Oshkosh, WI 54902. The listed phone number is (920) 233-8882.

What is Kyle Schroeder's specialty?

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

Is Kyle Schroeder enrolled in Medicare?

No. Kyle Schroeder has opted out of Medicare through April 24, 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.

When was this NPI record last updated?

The NPPES record for Kyle Schroeder was last updated on November 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.