DR. ANTHONY LOTESTO DMD
NPI 1861945826
Dentist - Oral and Maxillofacial Surgery in Sturtevant, WI

Active since July 26, 2016Opted out of Medicare · through Jan 4, 2027
10155 WASHINGTON AVE, STURTEVANT, WI 53177(262) 884-3011 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony Lotesto Dmd NPPES

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

DR. ANTHONY LOTESTO DMD (NPI 1861945826) is an individual oral and maxillofacial surgery provider in Sturtevant, Wisconsin, licensed in Wisconsin (1002445-15) and active in the NPI registry since July 2016. He has opted out of Medicare through January 4, 2027 and remains eligible to order and refer and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1861945826
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANTHONY LOTESTOCredential: DMD
Location Address10155 WASHINGTON AVESturtevant, WI 53177-1645
Mailing Address10155 Washington AveSturtevant, WI 53177-1645 · (262) 884-3011
Sole ProprietorYes
Enumeration DateJuly 26, 2016
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1861945826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WI · 1002445-15 Licensed in SC · DGD8774
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.

10155 WASHINGTON AVE, Sturtevant, WI 53177

Secondary Practice Location 1

Location 1169 Ashley Ave, Room 202 Main HospitalCharleston, SC 29425-8905 · Phone (843) 792-2094

Accepted 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. Anthony Lotesto Dmd 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, 2023 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2023
Opt-Out In Effect ThroughJanuary 4, 2027Opt-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 53177 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 13

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

Dentist (Periodontics)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (Prosthodontics)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (Pediatric Dentistry)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177

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 Anthony Lotesto's NPI number?

The NPI number for Anthony Lotesto is 1861945826. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Anthony Lotesto located?

Anthony Lotesto practices at 10155 Washington Ave, Sturtevant, WI 53177. The listed phone number is (262) 884-3011.

What is Anthony Lotesto's specialty?

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

Is Anthony Lotesto enrolled in Medicare?

No. Anthony Lotesto has opted out of Medicare through January 4, 2027. 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 Anthony Lotesto accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Anthony Lotesto 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 Anthony Lotesto was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.