DR. JACQUELYN M GOMEZ-BARTEK D.D.S.
NPI 1902066335
Dentist in Santa Fe, NM

Q: What is Jacquelyn Gomez-bartek's NPI number?

The NPI number for Jacquelyn Gomez-bartek is 1902066335. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Jacquelyn Gomez-bartek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Jacquelyn Gomez-bartek enrolled in Medicare?

No. Jacquelyn Gomez-bartek has opted out of Medicare through October 23, 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.

Active since June 10, 2008Opted out of Medicare · through Oct 23, 2027

550B SAINT MICHAELS DR STE 2, SANTA FE, SANTA FE, NM 87505(505) 471-7000 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jacquelyn M Gomez-bartek D.d.s. NPPES

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

DR. JACQUELYN M GOMEZ-BARTEK D.D.S. (NPI 1902066335) is an individual dentist in Santa Fe, New Mexico, licensed in New Mexico (DD2992) and active in the NPI registry since June 2008. She has opted out of Medicare through October 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902066335

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JACQUELYN M GOMEZ-BARTEKCredential: D.D.S.

Location Address550B SAINT MICHAELS DR STE 2, SANTA FESanta Fe, NM 87505-7604

Mailing Address1440 Avenida Rincon Unit 105, Santa FeSanta Fe, NM 87506-6009 · (505) 310-3603

Phone(505) 471-7000

Sole ProprietorNo

Enumeration DateJune 10, 2008

Last NPPES UpdateOctober 22, 2019

✔ NPI 1902066335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD2992

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

550B SAINT MICHAELS DR STE 2, Santa Fe, NM 87505

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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. Jacquelyn M Gomez-bartek D.d.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 October 23, 2019 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2019

Opt-Out In Effect ThroughOctober 23, 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 87505 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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

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

PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL

Dentist (General Practice)

550B SAINT MICHAELS DR STE 2
SANTA FE, NM 87505

Santa Fe County (505) 471-7000

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 Jacquelyn Gomez-bartek's NPI number?

The NPI number for Jacquelyn Gomez-bartek is 1902066335. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Jacquelyn Gomez-bartek located?

Jacquelyn Gomez-bartek practices at 550B Saint Michaels Dr Ste 2 Santa Fe, Santa Fe, NM 87505. The listed phone number is (505) 471-7000.

What is Jacquelyn Gomez-bartek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacquelyn Gomez-bartek enrolled in Medicare?

No. Jacquelyn Gomez-bartek has opted out of Medicare through October 23, 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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Gomez-bartek was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.