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DR. SCOTT ALLEN MATZENBACHER D.D.S.,M.S.
NPI 1770567653
Dentist - Periodontics in Fort Sill, OK

Active since December 03, 2005PECOS Enrolled
USA DENTAL ACTIVITY, 2776 RINGGOLD RD, FORT SILL, OK 73503(580) 442-3905(580) 442-4002 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Scott Allen Matzenbacher D.d.s.,m.s. NPPES

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

DR. SCOTT ALLEN MATZENBACHER D.D.S.,M.S. (NPI 1770567653) is an individual periodontics provider in Fort Sill, Oklahoma, licensed in Kansas (7192) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1989).

NPPES Registry Identity

NPI1770567653
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SCOTT ALLEN MATZENBACHERCredential: D.D.S.,M.S.
Location AddressUSA DENTAL ACTIVITY, 2776 RINGGOLD RDFort Sill, OK 73503
Mailing AddressUsa Dental Activity, 2776 Ringgold RdFort Sill, OK 73503 · (580) 442-3905 · Fax (580) 442-4002
Phone(580) 442-3905
Fax(580) 442-4002
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1989
Enumeration DateDecember 3, 2005
Last NPPES UpdateMay 28, 2010
✔ NPI 1770567653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KS · 7192
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
USA DENTAL ACTIVITY, Fort Sill, OK 73503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Allen Matzenbacher D.d.s.,m.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648500678
PECOS Enrollment IDI20251006003425
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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Matzenbacher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Tribal Health System
254 mi
Clinic/Center
7600 S HIGHWAY 69A
Miami, OK 74354
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1871522532 (918) 542-1655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73503 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 2

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

DR. PETER FREDERICK HEITMAN DMD
Dentist
USA DENTAL ACTIVITY, 652 HAMILTON RD.
FORT SILL, OK 73503
Comanche County (580) 442-5488
EUGENE PAEK DMD
Dentist
USA DENTAL ACTIVITY, 652 HAMILTON RD
FORT SILL, OK 73503
Comanche County (580) 442-3905

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 Scott Matzenbacher's NPI number?

The NPI number for Scott Matzenbacher is 1770567653. It was assigned to this individual provider in the NPPES registry on December 3, 2005.

Where is Scott Matzenbacher located?

Scott Matzenbacher practices at Usa Dental Activity 2776 Ringgold Rd, Fort Sill, OK 73503. The listed phone number is (580) 442-3905.

What is Scott Matzenbacher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Scott Matzenbacher enrolled in Medicare?

Yes. Scott Matzenbacher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Matzenbacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Matzenbacher reassigns Medicare benefits to Northeastern Tribal Health System (Miami, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Matzenbacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Matzenbacher was last updated on May 28, 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.