DR. BRYAN MARK RECKER D.D.S., M.S.
NPI 1861693491
Dentist - Periodontics in Rochester, MN

Active since May 30, 2007Opted out of Medicare · through Feb 16, 2028
2112 VIKING DR NW, ROCHESTER, MN 55901(507) 208-9124(507) 218-0326 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bryan Mark Recker D.d.s., M.s. NPPES

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

DR. BRYAN MARK RECKER D.D.S., M.S. (NPI 1861693491) is an individual periodontics provider in Rochester, Minnesota, licensed in Minnesota (D12733) and active in the NPI registry since May 2007. He has opted out of Medicare through February 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861693491
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRYAN MARK RECKERCredential: D.D.S., M.S.
Location Address2112 VIKING DR NWRochester, MN 55901-3522
Mailing Address2112 Viking Dr NwRochester, MN 55901-3522 · (507) 208-9124 · Fax (507) 218-0326
Fax(507) 218-0326
Sole ProprietorYes
Enumeration DateMay 30, 2007
Last NPPES UpdateJune 24, 2015
NPI 1861693491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in MN · D12733 Licensed in IA · 08416
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2112 VIKING DR NW, Rochester, MN 55901

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. Bryan Mark Recker D.d.s., M.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 February 16, 2016 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2016
Opt-Out In Effect ThroughFebruary 16, 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 55901 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 15

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

Clinic/Center (Dental)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist
2112 VIKING DR NW, SUITE G
ROCHESTER, MN 55901
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW, DR. TERRY KLAMPE, INC
ROCHESTER, MN 55901
Health Maintenance Organization
2112 VIKING DR NW, SUITE E
ROCHESTER, MN 55901
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901

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 Bryan Recker's NPI number?

The NPI number for Bryan Recker is 1861693491. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Bryan Recker located?

Bryan Recker practices at 2112 Viking Dr NW, Rochester, MN 55901. The listed phone number is (507) 208-9124.

What is Bryan Recker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bryan Recker enrolled in Medicare?

No. Bryan Recker has opted out of Medicare through February 16, 2028. 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.

When was this NPI record last updated?

The NPPES record for Bryan Recker was last updated on June 24, 2015. 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.