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BRYAN I. POPE
NPI 1730289562
Dentist - Periodontics in San Mateo, CA

Active since September 22, 2006Opted out of Medicare · through Apr 16, 2027
235 N SAN MATEO DR, 100, SAN MATEO, CA 94401(650) 348-4030(650) 348-7213 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan I. Pope NPPES

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

BRYAN I. POPE (NPI 1730289562) is an individual periodontics provider in San Mateo, California, licensed in California (48353) and active in the NPI registry since September 2006. He has opted out of Medicare through April 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730289562
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameBRYAN I. POPE
Location Address235 N SAN MATEO DR, 100San Mateo, CA 94401-2621
Mailing Address235 N San Mateo Dr, 100San Mateo, CA 94401-2621 · (650) 348-4030 · Fax (650) 348-7213
Phone(650) 348-4030
Fax(650) 348-7213
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730289562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 48353
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
235 N SAN MATEO DR, San Mateo, CA 94401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bryan I. Pope 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 16, 2013 through April 16, 2027.

Opt-Out Effective DateApril 16, 2013
Opt-Out In Effect ThroughApril 16, 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 94401 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 7

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

JESSY I TSENG D.D.S.
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 340-0228
VICTORIA E. MOORE D.D.S.
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 340-0228
DR. DAVID DWIGHT MOORE JR. D.D.S.
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 340-0225
BRENDA LAMB LEWIS
Dentist (Periodontics)
235 N SAN MATEO DR, 100
SAN MATEO, CA 94401
San Mateo County (650) 348-4030
RICHARD AGNEW FAGIN DDS
Oral & Maxillofacial Surgery
235 N SAN MATEO DR, SUITE 600
SAN MATEO, CA 94401
San Mateo County (650) 342-0213
FREDERICK R CHO D.D.S.
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 340-0228
STEPHEN WAYNE NELSON DDS
Dentist
235 N SAN MATEO DR, #200
SAN MATEO, CA 94401
San Mateo County (650) 348-7464

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 Bryan Pope's NPI number?

The NPI number for Bryan Pope is 1730289562. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Bryan Pope located?

Bryan Pope practices at 235 N San Mateo Dr 100, San Mateo, CA 94401. The listed phone number is (650) 348-4030.

What is Bryan Pope's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bryan Pope enrolled in Medicare?

No. Bryan Pope has opted out of Medicare through April 16, 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 Bryan Pope 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.