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DR. JUSTIN PFAFFINGER DDS
NPI 1972837490
Dentist - General Practice in Grass Valley, CA

Active since September 30, 2009Opted out of Medicare · through May 4, 2028
1345 WHISPERING PINES LN, GRASS VALLEY, CA 95945(530) 273-9340(530) 273-7255 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Pfaffinger Dds NPPES

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

DR. JUSTIN PFAFFINGER DDS (NPI 1972837490) is an individual general practice provider in Grass Valley, California, licensed in California (58375) and active in the NPI registry since September 2009. He has opted out of Medicare through May 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972837490
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTIN PFAFFINGERCredential: DDS
Location Address1345 WHISPERING PINES LNGrass Valley, CA 95945-5952
Mailing Address1345 Whispering Pines LnGrass Valley, CA 95945-5952 · (530) 273-9340 · Fax (530) 273-7255
Phone(530) 273-9340
Fax(530) 273-7255
Sole ProprietorNo
Enumeration DateSeptember 30, 2009
✔ NPI 1972837490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 58375
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.
1345 WHISPERING PINES LN, Grass Valley, CA 95945
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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. Justin Pfaffinger Dds 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 May 4, 2016 through May 4, 2028.

Opt-Out Effective DateMay 4, 2016
Opt-Out In Effect ThroughMay 4, 2028Opt-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 95945 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 4

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

DR. KAREN FAY HIGGINS M.D.
Psychiatry & Neurology (Psychiatry)
1345 WHISPERING PINES LN
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
STEVEN STAR PA
Physician Assistant
1345 WHISPERING PINES LN
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
MRS. DANIELLE MARIE YANTIS M.S., R.D.
Dietitian, Registered
1345 WHISPERING PINES LN
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
DR. FRANK JOHN LANG JR. M.D.
Family Medicine
1345 WHISPERING PINES LN
GRASS VALLEY, CA 95945
Nevada County (530) 273-9340

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 Justin Pfaffinger's NPI number?

The NPI number for Justin Pfaffinger is 1972837490. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Justin Pfaffinger located?

Justin Pfaffinger practices at 1345 Whispering Pines Ln, Grass Valley, CA 95945. The listed phone number is (530) 273-9340.

What is Justin Pfaffinger's specialty?

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

Is Justin Pfaffinger enrolled in Medicare?

No. Justin Pfaffinger has opted out of Medicare through May 4, 2028. 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 Justin Pfaffinger was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.