DR. KATHLEEN KOPECKY-GROH DMD
NPI 1740517804
Dentist - General Practice in Lebanon, PA

Active since November 11, 2009PECOS Enrolled
428 CUMBERLAND ST, LEBANON, PA 17042(717) 274-2820 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kathleen Kopecky-groh Dmd NPPES

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

DR. KATHLEEN KOPECKY-GROH DMD (NPI 1740517804) is an individual general practice provider in Lebanon, Pennsylvania, licensed in Pennsylvania (DS 024851L) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740517804
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHLEEN KOPECKY-GROHCredential: DMD
Location Address428 CUMBERLAND STLebanon, PA 17042-5314
Mailing Address428 Cumberland StLebanon, PA 17042-5314 · (717) 274-2820
Sole ProprietorYes
Enumeration DateNovember 11, 2009
NPI 1740517804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS 024851L
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.

428 CUMBERLAND ST, Lebanon, PA 17042

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kathleen Kopecky-groh Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

The NPI number assigned to this healthcare provider is 1740517804, enumerated as an "individual" on November 11, 2009.

The provider is located at 428 CUMBERLAND ST LEBANON, PA 17042 and the phone number is (717) 274-2820.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.