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DR. MATTHEW ERIC ROBERTSON DMD
NPI 1750343802
Dentist - Oral and Maxillofacial Surgery in Wichita, KS

Active since April 04, 2006Opted out of Medicare · through Dec 19, 2026
12611 E 21ST ST N, WICHITA, KS 67206(316) 742-1506 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 15, 2024, Jun 16, 2018, Jan 17, 2018 (3 updates tracked since 2018).

About Dr. Matthew Eric Robertson Dmd NPPES

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

DR. MATTHEW ERIC ROBERTSON DMD (NPI 1750343802) is an individual oral and maxillofacial surgery provider in Wichita, Kansas, licensed in Kansas (60512) and active in the NPI registry since April 2006. He has opted out of Medicare through December 19, 2026 and remains eligible to order and refer and maintains a secondary practice location in Derby.

NPPES Registry Identity

NPI1750343802
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW ERIC ROBERTSONCredential: DMD
Location Address12611 E 21ST ST NWichita, KS 67206-3594
Mailing Address12611 E 21st St NWichita, KS 67206-3594 · (316) 742-1506 · Fax (316) 742-1507
Phone(316) 742-1506
Sole ProprietorYes
Enumeration DateApril 4, 2006
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1750343802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in KS · 60512✔ Licensed in TX · 21514
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.
12611 E 21ST ST N, Wichita, KS 67206
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 N Georgie AveDerby, KS 67037-1701 · Phone (316) 746-0015 · Fax (316) 746-0078

Other Identifiers 1

Other12345None

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Matthew Eric Robertson Dmd 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 December 19, 2018 through December 19, 2026.

Opt-Out Effective DateDecember 19, 2018
Opt-Out In Effect ThroughDecember 19, 2026Opt-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 67206 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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

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

WICHITA ORAL SURGERY LLC
Clinic/Center (Oral and Maxillofacial Surgery)
12611 E 21ST ST N
WICHITA, KS 67206
Sedgwick County (316) 742-1506

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 Matthew Robertson's NPI number?

The NPI number for Matthew Robertson is 1750343802. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Matthew Robertson located?

Matthew Robertson practices at 12611 E 21st St N, Wichita, KS 67206. The listed phone number is (316) 742-1506.

What is Matthew Robertson's specialty?

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

Is Matthew Robertson enrolled in Medicare?

No. Matthew Robertson has opted out of Medicare through December 19, 2026. 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 Matthew Robertson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 15 other insurers list Matthew Robertson 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 Matthew Robertson was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.