EDMUND J ROTTY DDS
NPI 1700934106
Dentist - General Practice in Southbridge, MA

Active since January 08, 2007PECOS Enrolled
914 MAIN STREET, SOUTHBRIDGE, MA 01550(508) 765-5985 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edmund J Rotty Dds NPPES

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

EDMUND J ROTTY DDS (NPI 1700934106) is an individual general practice provider in Southbridge, Massachusetts, licensed in Massachusetts (12974) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700934106
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDMUND J ROTTYCredential: DDS
Location Address914 MAIN STREETSouthbridge, MA 01550
Mailing Address914 Main StreetSouthbridge, MA 01550 · (508) 765-5985
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1700934106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 12974
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.
914 MAIN STREET, Southbridge, MA 01550

Other Identifiers 3

OtherX10388DRMA · Blue Cross Blue Shield
Medicaid0246409MA
Other000112MA · Delta Dental

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edmund J Rotty Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 (General Practice)
914 MAIN STREET
SOUTHBRIDGE, MA 01550
Dentist (General Practice)
914 MAIN STREET
SOUTHBRIDGE, MA 01550
Clinic/Center (Dental)
914 MAIN STREET
SOUTHBRIDGE, MA 01550

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 Edmund Rotty's NPI number?

The NPI number for Edmund Rotty is 1700934106. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Edmund Rotty located?

Edmund Rotty practices at 914 Main Street, Southbridge, MA 01550. The listed phone number is (508) 765-5985.

What is Edmund Rotty's specialty?

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

Is Edmund Rotty enrolled in Medicare?

Yes. Edmund Rotty is registered in the Medicare PECOS enrollment system.

What insurance does Edmund Rotty accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Edmund Rotty 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 Edmund Rotty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.