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DR. NICKOLAS STANLEY MASKAS D.D.S.
NPI 1679913222
Dentist - Oral and Maxillofacial Surgery in Lake Charles, LA

Active since June 27, 2013Opted out of Medicare · through Aug 29, 2026
4720 LAKE STREET, LAKE CHARLES, LA 70605(337) 888-4771(337) 888-4772 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, Sep 4, 2019 (2 updates tracked since 2019).

About Dr. Nickolas Stanley Maskas D.d.s. NPPES

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

DR. NICKOLAS STANLEY MASKAS D.D.S. (NPI 1679913222) is an individual oral and maxillofacial surgery provider in Lake Charles, Louisiana, licensed in Louisiana (6365) and active in the NPI registry since June 2013. He has opted out of Medicare through August 29, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679913222
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NICKOLAS STANLEY MASKASCredential: D.D.S.
Location Address4720 LAKE STREETLake Charles, LA 70605
Mailing Address4720 Lake StreetLake Charles, LA 70605 · (337) 888-4771 · Fax (337) 888-4772
Phone(337) 888-4771
Fax(337) 888-4772
Sole ProprietorNo
Enumeration DateJune 27, 2013
Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration
✔ NPI 1679913222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in LA · 6365✔ Licensed in FL · 1190
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4720 LAKE STREET, Lake Charles, LA 70605
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11395 Center Dr # D7-6, Box 100416Gainesville, FL 32610-0416 · Phone (352) 273-6750
Location 25656 Nelson Rd Ste C1Lake Charles, LA 70605 · Phone (337) 888-4771

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. Nickolas Stanley Maskas 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 August 29, 2022 through August 29, 2026.

Opt-Out Effective DateAugust 29, 2022
Opt-Out In Effect ThroughAugust 29, 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

LOUISIANA ORAL & IMPLANT SURGERY
Clinic/Center (Oral and Maxillofacial Surgery)
4720 LAKE STREET
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 888-4771

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 Nickolas Maskas's NPI number?

The NPI number for Nickolas Maskas is 1679913222. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Nickolas Maskas located?

Nickolas Maskas practices at 4720 Lake Street, Lake Charles, LA 70605. The listed phone number is (337) 888-4771.

What is Nickolas Maskas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nickolas Maskas enrolled in Medicare?

No. Nickolas Maskas has opted out of Medicare through August 29, 2026. 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 Nickolas Maskas was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.