DR. JAN BUBLIK DDS
NPI 1700987302
Dentist - General Practice in Wausau, WI

Q: What is Jan Bublik's NPI number?

The NPI number for Jan Bublik is 1700987302. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Jan Bublik's specialty?

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

Q: Is Jan Bublik enrolled in Medicare?

No. Jan Bublik has opted out of Medicare through August 15, 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.

Q: When was this NPI record last updated?

The NPPES record for Jan Bublik was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 26, 2006Opted out of Medicare · through Aug 15, 2027

210 INDEPENDENCE LN, WAUSAU, WI 54403(715) 203-1305(866) 906-0578 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jan Bublik Dds NPPES

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

DR. JAN BUBLIK DDS (NPI 1700987302) is an individual general practice provider in Wausau, Wisconsin, licensed in New York (050499-1) and active in the NPI registry since September 2006. He has opted out of Medicare through August 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700987302

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAN BUBLIKCredential: DDS

Location Address210 INDEPENDENCE LNWausau, WI 54403-5197

Mailing Address210 Independence LnWausau, WI 54403-5197 · (715) 203-1305 · Fax (866) 906-0578

Phone(715) 203-1305

Fax(866) 906-0578

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateApril 5, 2011

✔ NPI 1700987302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 050499-1

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.

210 INDEPENDENCE LN, Wausau, WI 54403

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Other Identifiers 3

Other161762514NY · Insurance Identifier

Other161462496NY · Insurance Identifier

Other7961NY · Bcbs Identifier

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. Jan Bublik 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 August 15, 2013 through August 15, 2027.

Opt-Out Effective DateAugust 15, 2013

Opt-Out In Effect ThroughAugust 15, 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 54403 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 Jan Bublik's NPI number?

The NPI number for Jan Bublik is 1700987302. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Jan Bublik located?

Jan Bublik practices at 210 Independence Ln, Wausau, WI 54403. The listed phone number is (715) 203-1305.

What is Jan Bublik's specialty?

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

Is Jan Bublik enrolled in Medicare?

No. Jan Bublik has opted out of Medicare through August 15, 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 Jan Bublik was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.