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ROBERT L MATHESON DENTIST
NPI 1750497004
Dentist in Rancho Cucamonga, CA

Active since August 21, 2006Opted out of Medicare · through Mar 24, 2028
9033 BASELINE ROAD, SUITE B, RANCHO CUCAMONGA, CA 91730(909) 948-9333(909) 948-9330 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert L Matheson Dentist NPPES

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

ROBERT L MATHESON DENTIST (NPI 1750497004) is an individual dentist in Rancho Cucamonga, California, licensed in California (71095547339682) and active in the NPI registry since August 2006. He has opted out of Medicare through March 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750497004
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameROBERT L MATHESONCredential: DENTIST
Location Address9033 BASELINE ROAD, SUITE BRancho Cucamonga, CA 91730
Mailing Address9033 Baseline Road, Suite BRancho Cucamonga, CA 91730 · (909) 948-9333 · Fax (909) 948-9330
Phone(909) 948-9333
Fax(909) 948-9330
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1750497004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 71095547339682✔ Licensed in CA · 39682
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.
9033 BASELINE ROAD, SUITE B, Rancho Cucamonga, CA 91730
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Robert L Matheson Dentist 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 March 24, 2016 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2016
Opt-Out In Effect ThroughMarch 24, 2028Opt-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 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Matheson's NPI number?

The NPI number for Robert Matheson is 1750497004. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Robert Matheson located?

Robert Matheson practices at 9033 Baseline Road, Suite B, Rancho Cucamonga, CA 91730. The listed phone number is (909) 948-9333.

What is Robert Matheson's specialty?

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

Is Robert Matheson enrolled in Medicare?

No. Robert Matheson has opted out of Medicare through March 24, 2028. 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 Robert Matheson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Robert Matheson 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 Robert Matheson was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.