DR. ERIC M. ALLTUCKER DDSMD
NPI 1730306721
Dentist - Oral and Maxillofacial Surgery in San Luis Obispo, CA

Active since April 19, 2007Opted out of Medicare · through May 13, 2027
990 BOYSEN AVE, SAN LUIS OBISPO, CA 93405(805) 541-3220(805) 541-3704 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eric M. Alltucker Ddsmd NPPES

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

DR. ERIC M. ALLTUCKER DDSMD (NPI 1730306721) is an individual oral and maxillofacial surgery provider in San Luis Obispo, California, licensed in California (D46732) and active in the NPI registry since April 2007. He has opted out of Medicare through May 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730306721
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ERIC M. ALLTUCKERCredential: DDSMD
Location Address990 BOYSEN AVESan Luis Obispo, CA 93405-1313
Mailing Address990 Boysen AveSan Luis Obispo, CA 93405-1313 · (805) 541-3220 · Fax (805) 541-3704
Fax(805) 541-3704
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1730306721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · D46732
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.
990 BOYSEN AVE, San Luis Obispo, CA 93405

Accepted Insurance

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. Eric M. Alltucker Ddsmd 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 May 13, 2015 through May 13, 2027.

Opt-Out Effective DateMay 13, 2015
Opt-Out In Effect ThroughMay 13, 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 93405 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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 2

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

Clinic/Center (Oral and Maxillofacial Surgery)
990 BOYSEN AVE
SAN LUIS OBISPO, CA 93405
Dentist (Oral and Maxillofacial Surgery)
990 BOYSEN AVE
SAN LUIS OBISPO, CA 93405

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 Eric Alltucker's NPI number?

The NPI number for Eric Alltucker is 1730306721. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Eric Alltucker located?

Eric Alltucker practices at 990 Boysen Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 541-3220.

What is Eric Alltucker's specialty?

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

Is Eric Alltucker enrolled in Medicare?

No. Eric Alltucker has opted out of Medicare through May 13, 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 Eric Alltucker accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and UnitedHealthcare list Eric Alltucker 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 Eric Alltucker 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.