DR. ALAN J. DOMEYER D.D.S.
NPI 1770895567
Dentist - General Practice in Cashton, WI

Active since July 08, 2010Opted out of Medicare · through Nov 16, 2027
238 FRONT ST, CASHTON, WI 54619(608) 654-5100 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alan J. Domeyer D.d.s. NPPES

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

DR. ALAN J. DOMEYER D.D.S. (NPI 1770895567) is an individual general practice provider in Cashton, Wisconsin, licensed in Wisconsin (6541-15) and active in the NPI registry since July 2010. He has opted out of Medicare through November 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770895567
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALAN J. DOMEYERCredential: D.D.S.
Location Address238 FRONT STCashton, WI 54619-2002
Mailing Address238 Front StCashton, WI 54619-2002
Sole ProprietorNo
Enumeration DateJuly 8, 2010
Last NPPES UpdateNovember 23, 2015
NPI 1770895567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6541-15
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.
238 FRONT ST, Cashton, WI 54619

Accepted 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. Alan J. Domeyer D.d.s. 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 November 16, 2017 through November 16, 2027.

Opt-Out Effective DateNovember 16, 2017
Opt-Out In Effect ThroughNovember 16, 2027Opt-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 54619 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Pharmacist
238 FRONT ST
CASHTON, WI 54619
Nurse Practitioner
238 FRONT ST
CASHTON, WI 54619
Dental Hygienist
238 FRONT ST
CASHTON, WI 54619
Dentist
238 FRONT ST
CASHTON, WI 54619
Dental Hygienist
238 FRONT ST
CASHTON, WI 54619
Counselor (Professional)
238 FRONT ST
CASHTON, WI 54619
Clinic/Center (Federally Qualified Health Center (FQHC))
238 FRONT ST
CASHTON, WI 54619
Counselor (Professional)
238 FRONT ST
CASHTON, WI 54619

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 Alan Domeyer's NPI number?

The NPI number for Alan Domeyer is 1770895567. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Alan Domeyer located?

Alan Domeyer practices at 238 Front St, Cashton, WI 54619. The listed phone number is (608) 654-5100.

What is Alan Domeyer's specialty?

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

Is Alan Domeyer enrolled in Medicare?

No. Alan Domeyer has opted out of Medicare through November 16, 2027. 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 Alan Domeyer accept?

Health plans from Delta Dental of Wisconsin, Inc. list Alan Domeyer 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 Alan Domeyer was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.