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MADISON DIAZ DDS
NPI 1891362067
Dentist - General Practice in Lexington, MO

Active since June 07, 2021PECOS Enrolled
811 S BUSINESS HIGHWAY 13 STE A, LEXINGTON, MO 64067(660) 251-6440 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Diaz Dds NPPES

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

MADISON DIAZ DDS (NPI 1891362067) is an individual general practice provider in Lexington, Missouri, licensed in Missouri (2021019490) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891362067
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMADISON DIAZCredential: DDS
Location Address811 S BUSINESS HIGHWAY 13 STE ALexington, MO 64067-1572
Mailing Address4911 Mercier StKansas City, MO 64112-1308 · (913) 633-0061
Phone(660) 251-6440
Sole ProprietorNo
Enumeration DateJune 7, 2021
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1891362067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2021019490
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.
811 S BUSINESS HIGHWAY 13 STE A, Lexington, MO 64067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Diaz Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Madison Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas City Care Clinic
40 mi
Federally Qualified Health Center (FQHC)
4601 INDEPENDENCE AVE
Kansas City, MO 64124
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group
NPI 1770024663 (816) 753-5144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64067 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 5

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

SAMUEL U. RODGERS HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Lafayette County (660) 259-3823
DR. CHRISTIAN VARGAS DDS
Dentist (Dental Public Health)
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Lafayette County (660) 259-2440
HCC NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Lafayette County (877) 344-3572
DR. ALLYSON HOLLENBECK
Dentist
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Lafayette County (660) 251-6440
MARY BETH SCHNELL NP
Nurse Practitioner (Acute Care)
811 S BUSINESS HIGHWAY 13 STE A
LEXINGTON, MO 64067
Lafayette County (877) 344-3572

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 Madison Diaz's NPI number?

The NPI number for Madison Diaz is 1891362067. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Madison Diaz located?

Madison Diaz practices at 811 S Business Highway 13 Ste A, Lexington, MO 64067. The listed phone number is (660) 251-6440.

What is Madison Diaz's specialty?

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

Is Madison Diaz enrolled in Medicare?

Yes. Madison Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Diaz reassigns Medicare benefits to Kansas City Care Clinic (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Diaz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 12 other insurers list Madison Diaz 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 Madison Diaz was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.