DR. LEIF ANDREW POLSON D.D.S
NPI 1790737005
Dentist in Thermopolis, WY

Active since May 16, 2006PECOS Enrolled
110 E ARAPAHOE ST, THERMOPOLIS, WY 82443(307) 864-9411 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leif Andrew Polson D.d.s NPPES

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

DR. LEIF ANDREW POLSON D.D.S (NPI 1790737005) is an individual dentist in Thermopolis, Wyoming, licensed in Nebraska (6549) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790737005
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LEIF ANDREW POLSONCredential: D.D.S
Location Address110 E ARAPAHOE STThermopolis, WY 82443-2402
Mailing Address110 E Arapahoe StThermopolis, WY 82443-2402 · (307) 864-9411
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 20, 2014
NPI 1790737005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NE · 6549
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.
110 E ARAPAHOE ST, Thermopolis, WY 82443

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. Leif Andrew Polson D.d.s 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 82443 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

Dentist
110 E ARAPAHOE ST
THERMOPOLIS, WY 82443
Clinic/Center (Dental)
110 E ARAPAHOE ST
THERMOPOLIS, WY 82443

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 Leif Polson's NPI number?

The NPI number for Leif Polson is 1790737005. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Leif Polson located?

Leif Polson practices at 110 E Arapahoe St, Thermopolis, WY 82443. The listed phone number is (307) 864-9411.

What is Leif Polson's specialty?

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

Is Leif Polson enrolled in Medicare?

Yes. Leif Polson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leif Polson was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.