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CAITLYN MARIE LASTOVICA D.D.S.
NPI 1730560467
Dentist in Scottsbluff, NE

Active since June 18, 2015Opted out of Medicare · through Jul 2, 2027
210 W 38TH ST, SCOTTSBLUFF, NE 69361(308) 632-5131 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caitlyn Marie Lastovica D.d.s. NPPES

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

CAITLYN MARIE LASTOVICA D.D.S. (NPI 1730560467) is an individual dentist in Scottsbluff, Nebraska, licensed in Nebraska (7230) and active in the NPI registry since June 2015. She has opted out of Medicare through July 2, 2027.

NPPES Registry Identity

NPI1730560467
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCAITLYN MARIE LASTOVICACredential: D.D.S.
Location Address210 W 38TH STScottsbluff, NE 69361-4778
Mailing Address210 W 38th StScottsbluff, NE 69361-4778 · (308) 632-5131
Phone(308) 632-5131
Sole ProprietorYes
Enumeration DateJune 18, 2015
✔ NPI 1730560467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NE · 7230
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
210 W 38TH ST, Scottsbluff, NE 69361
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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

Caitlyn Marie Lastovica D.d.s. 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 July 2, 2015 through July 2, 2027.

Opt-Out Effective DateJuly 2, 2015
Opt-Out In Effect ThroughJuly 2, 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 69361 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 5

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

MICHAEL E GREEN OD PC
Optometrist
210 W 38TH ST
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-2039
DR. MICHAEL E GREEN O.D.
Optometrist
210 W 38TH ST
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-2039
DAVID J KERR MD PC
Dermatology
210 W 38TH ST
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-3230
CAITLYN M. LASTOVICA, D.D.S., LLC
Dentist
210 W 38TH ST
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-5131
SCOTT WILLIAM BECK D.D.S.
Dentist (General Practice)
210 W 38TH ST
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-7414

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 Caitlyn Lastovica's NPI number?

The NPI number for Caitlyn Lastovica is 1730560467. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Caitlyn Lastovica located?

Caitlyn Lastovica practices at 210 W 38th St, Scottsbluff, NE 69361. The listed phone number is (308) 632-5131.

What is Caitlyn Lastovica's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Caitlyn Lastovica enrolled in Medicare?

No. Caitlyn Lastovica has opted out of Medicare through July 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Caitlyn Lastovica was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.