DR. RONALD OMMEN DDS
NPI 1841332541
Dentist - General Practice in Liverpool, NY

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since February 12, 2007Opted out of Medicare · through Jan 4, 2028

4820 W TAFT RD, SUITE 112, LIVERPOOL, NY 13088(315) 457-3551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ronald Ommen Dds NPPES

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

DR. RONALD OMMEN DDS (NPI 1841332541) is an individual general practice provider in Liverpool, New York, licensed in New York (042172-1) and active in the NPI registry since February 2007. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841332541

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RONALD OMMENCredential: DDS

Location Address4820 W TAFT RD, SUITE 112Liverpool, NY 13088-2800

Mailing Address4820 W Taft Rd, Suite 112Liverpool, NY 13088-2800 · (315) 457-3551

Phone(315) 457-3551

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1841332541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 042172-1

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.

4820 W TAFT RD, Liverpool, NY 13088

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Ronald Ommen Dds 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 January 4, 2016 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2016

Opt-Out In Effect ThroughJanuary 4, 2028Opt-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 13088 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.