Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PETER ZAGURSKY JR. D.D.S.
NPI 1811960818
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Q: What is Peter Zagursky's NPI number?

The NPI number for Peter Zagursky is 1811960818. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Peter Zagursky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Peter Zagursky enrolled in Medicare?

No. Peter Zagursky has opted out of Medicare through November 1, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Peter Zagursky was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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 February 09, 2006Opted out of Medicare · through Nov 1, 2026

12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141(800) 325-3982(877) 685-9866 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Peter Zagursky Jr. D.d.s. NPPES

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

DR. PETER ZAGURSKY JR. D.D.S. (NPI 1811960818) is an individual oral and maxillofacial surgery provider in Saint Louis, Missouri, licensed in Maryland (10766) and active in the NPI registry since February 2006. He has opted out of Medicare through November 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811960818

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. PETER ZAGURSKY JR.Credential: D.D.S.

Location Address12647 OLIVE BLVD, SUITE 600Saint Louis, MO 63141-6345

Mailing Address3521 Smithville DrDunkirk, MD 20754-9665 · (410) 286-8799

Phone(800) 325-3982

Fax(877) 685-9866

Sole ProprietorNo

Enumeration DateFebruary 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1811960818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MD · 10766

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12647 OLIVE BLVD, Saint Louis, MO 63141

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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 Alabama and more.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. Peter Zagursky Jr. 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 1, 2014 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2014

Opt-Out In Effect ThroughNovember 1, 2026Opt-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 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

MS. RUTH SUSAN ROSENSTEIN LCSW

Behavior Analyst

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (180) 032-5398

SHARON DUCKWORTH

Social Worker (Clinical)

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (520) 682-3182

MS. CAROL JO TALIAFERRO LCSW

Social Worker (Clinical)

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (314) 744-4100

DR. WILLIAM CONNOR PH.D.

Psychologist

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (877) 984-8285

MR. ROBERT FRED VANDEBORNE

Radiologic Technologist

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (800) 325-3982

MS. DENISE TAYLOR DARDEN NNP

Nurse Practitioner (Neonatal)

12647 OLIVE BLVD
SAINT LOUIS, MO 63141

St. Louis County (800) 325-3982

MRS. AUDREY MARY HYLAND CRNA

Registered Nurse

12647 OLIVE BLVD
SAINT LOUIS, MO 63141

St. Louis County (314) 744-4247

MARK NEUENSCHWANDER

Family Medicine

12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141

St. Louis County (800) 325-3982

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 Peter Zagursky's NPI number?

The NPI number for Peter Zagursky is 1811960818. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Peter Zagursky located?

Peter Zagursky practices at 12647 Olive Blvd Suite 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Peter Zagursky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Zagursky enrolled in Medicare?

No. Peter Zagursky has opted out of Medicare through November 1, 2026. 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 Peter Zagursky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Peter Zagursky 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 Peter Zagursky was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.