CAITLYN MARIE LASTOVICA D.D.S. - NPI 1730560467

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 122300000X.

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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.

DR. MICHAEL E GREEN O.D.

Optometrist