DR. JEFFREY RAYMOND GUDOWICZ DMD
NPI 1861069247
Dentist - General Practice in Cleveland, OH

Q: What is Jeffrey Gudowicz's NPI number?

The NPI number for Jeffrey Gudowicz is 1861069247. It was assigned to this individual provider in the NPPES registry on June 5, 2021.

Q: What is Jeffrey Gudowicz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Gudowicz was last updated on June 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 05, 2021PECOS Enrolled

4071 LEE RD STE 260, CLEVELAND, OH 44128(216) 727-0234 Get Directions Write a Review

NPPES record last updated: June 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jeffrey Raymond Gudowicz Dmd NPPES

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

DR. JEFFREY RAYMOND GUDOWICZ DMD (NPI 1861069247) is an individual general practice provider in Cleveland, Ohio, licensed in Ohio (RES.004347) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861069247

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY RAYMOND GUDOWICZCredential: DMD

Location Address4071 LEE RD STE 260Cleveland, OH 44128-2173

Mailing Address9131 Bernwood CtMentor, OH 44060-7349

Phone(216) 727-0234

Sole ProprietorNo

Enumeration DateJune 5, 2021

NPPES CertifiedMay 26, 2021

✔ NPI 1861069247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · RES.004347

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.

4071 LEE RD STE 260, Cleveland, OH 44128

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Jeffrey Raymond Gudowicz Dmd 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 44128 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

JAVIER ALEJANDRO RODRIGUEZ DEL REY

Dentist (General Practice)