DR. SAMUEL LEE KOTH DDS
NPI 1760794127
Dentist - General Practice in Rock Valley, IA

Q: What is Samuel Koth's NPI number?

The NPI number for Samuel Koth is 1760794127. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Q: What is Samuel Koth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Koth was last updated on July 13, 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.

Active since July 13, 2010PECOS Enrolled

1220 21ST AVE, ROCK VALLEY, IA 51247(712) 476-2749 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Samuel Lee Koth Dds NPPES

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

DR. SAMUEL LEE KOTH DDS (NPI 1760794127) is an individual general practice provider in Rock Valley, Iowa, licensed in Iowa (08755) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760794127

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SAMUEL LEE KOTHCredential: DDS

Location Address1220 21ST AVERock Valley, IA 51247-1420

Mailing Address1220 21st AveRock Valley, IA 51247-1420 · (712) 476-2749

Phone(712) 476-2749

Sole ProprietorNo

Enumeration DateJuly 13, 2010

✔ NPI 1760794127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · 08755

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.

1220 21ST AVE, Rock Valley, IA 51247

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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. Samuel Lee Koth Dds 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 51247 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 3

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

DR. JAMES ALAN JESPERSEN DDS

Dentist

1220 21ST AVE
ROCK VALLEY, IA 51247

Sioux County (712) 476-2749

JAMES A. JESPERSEN, DDS, PC

Dentist

1220 21ST AVE
ROCK VALLEY, IA 51247

Sioux County (712) 476-2749

SAMUEL L. KOTH, DDS, PC

Dentist (General Practice)

1220 21ST AVE
ROCK VALLEY, IA 51247

Sioux County (712) 476-2749

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 Samuel Koth's NPI number?

The NPI number for Samuel Koth is 1760794127. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Samuel Koth located?

Samuel Koth practices at 1220 21st Ave, Rock Valley, IA 51247. The listed phone number is (712) 476-2749.

What is Samuel Koth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samuel Koth enrolled in Medicare?

Yes. Samuel Koth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Koth was last updated on July 13, 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.