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DR. COURTNEY KUTSULIS
NPI 1932558095
Dentist in Lebanon, TN

Active since June 09, 2016PECOS Enrolled
1715 W MAIN ST, LEBANON, TN 37087(615) 784-4330 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Courtney Kutsulis NPPES

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

DR. COURTNEY KUTSULIS (NPI 1932558095) is an individual dentist in Lebanon, Tennessee, licensed in Tennessee (10269) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932558095
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. COURTNEY KUTSULIS
Location Address1715 W MAIN STLebanon, TN 37087-3153
Mailing Address1715 W Main StLebanon, TN 37087-3153 · (615) 784-4330
Phone(615) 784-4330
Sole ProprietorNo
Enumeration DateJune 9, 2016
✔ NPI 1932558095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 10269
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.
1715 W MAIN ST, Lebanon, TN 37087
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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 Home State Health, Ambetter from Magnolia 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. Courtney Kutsulis 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 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 3

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

TENNESSEE DENTAL PROFESSIONALS PC
Dentist
1715 W MAIN ST
LEBANON, TN 37087
Wilson County (615) 547-3597
MARISSA DENISE DOPSON DDS, MPH
Dentist (General Practice)
1715 W MAIN ST
LEBANON, TN 37087
Wilson County (615) 784-4330
ALISON FOSTER NEELY DMD
Dentist
1715 W MAIN ST
LEBANON, TN 37087
Wilson County (615) 784-4330

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 Courtney Kutsulis's NPI number?

The NPI number for Courtney Kutsulis is 1932558095. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Courtney Kutsulis located?

Courtney Kutsulis practices at 1715 W Main St, Lebanon, TN 37087. The listed phone number is (615) 784-4330.

What is Courtney Kutsulis's specialty?

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

Is Courtney Kutsulis enrolled in Medicare?

Yes. Courtney Kutsulis is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Kutsulis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 15 other insurers list Courtney Kutsulis 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 Courtney Kutsulis was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.