LUCY WANDA KOMOROWSKI DMD
NPI 1952656043
Dentist in Green Bay, WI

Q: What is Lucy Komorowski's NPI number?

The NPI number for Lucy Komorowski is 1952656043. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Lucy Komorowski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lucy Komorowski was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since July 16, 2012PECOS Enrolled

1245 MAIN ST, GREEN BAY, WI 54302(920) 965-0831 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Jul 21, 2022, Aug 17, 2017 and 1 more (4 updates tracked since 2017).

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About Lucy Wanda Komorowski Dmd NPPES

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

LUCY WANDA KOMOROWSKI DMD (NPI 1952656043) is an individual dentist in Green Bay, Wisconsin, licensed in Wisconsin (6002099-15) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952656043

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameLUCY WANDA KOMOROWSKICredential: DMD

Location Address1245 MAIN STGreen Bay, WI 54302-1306

Mailing Address1245 Main StGreen Bay, WI 54302-1306 · (920) 965-0831

Phone(920) 965-0831

Sole ProprietorNo

Enumeration DateJuly 16, 2012

Last NPPES UpdateApril 2, 20264 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1952656043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 6002099-15

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.

1245 MAIN ST, Green Bay, WI 54302

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Lucy Wanda Komorowski Dmd 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 54302 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 8

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

HEATHER MAE TREML

Dental Hygienist