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CORTNEY VAUGHN DECKER DDS
NPI 1699709105
Dentist - General Practice in Eau Claire, WI

Active since July 10, 2006Opted out of Medicare · through Mar 17, 2027
4605 ROYAL DRIVE, EAU CLAIRE, WI 54701(715) 855-9220(715) 855-9225 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cortney Vaughn Decker Dds NPPES

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

CORTNEY VAUGHN DECKER DDS (NPI 1699709105) is an individual general practice provider in Eau Claire, Wisconsin, licensed in Wisconsin (500-1202) and active in the NPI registry since July 2006. He has opted out of Medicare through March 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699709105
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCORTNEY VAUGHN DECKERCredential: DDS
Location Address4605 ROYAL DRIVEEau Claire, WI 54701
Mailing Address1628 Old English RoadAltoona, WI 54720 · (715) 828-2675 · Fax (715) 834-1988
Phone(715) 855-9220
Fax(715) 855-9225
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 28, 2019
✔ NPI 1699709105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 500-1202
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.

4605 ROYAL DRIVE, Eau Claire, WI 54701
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Other Identifiers 1

Other391185385WI · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Cortney Vaughn Decker 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 March 17, 2015 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2015
Opt-Out In Effect ThroughMarch 17, 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 54701 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.

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 Cortney Decker's NPI number?

The NPI number for Cortney Decker is 1699709105. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Cortney Decker located?

Cortney Decker practices at 4605 Royal Drive, Eau Claire, WI 54701. The listed phone number is (715) 855-9220.

What is Cortney Decker's specialty?

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

Is Cortney Decker enrolled in Medicare?

No. Cortney Decker has opted out of Medicare through March 17, 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.

What insurance does Cortney Decker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Cortney Decker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cortney Decker was last updated on June 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.