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DR. ROBERT JACK MOSTOVOY D.D.S.
NPI 1982796934
Dentist - Prosthodontics in San Francisco, CA

Active since September 28, 2006Opted out of Medicare · through May 11, 2028
3641 SACRAMENTO ST, SUITE H, SAN FRANCISCO, CA 94118(415) 775-0974(415) 775-2408 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Jack Mostovoy D.d.s. NPPES

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

DR. ROBERT JACK MOSTOVOY D.D.S. (NPI 1982796934) is an individual prosthodontics provider in San Francisco, California, licensed in California (19651) and active in the NPI registry since September 2006. He has opted out of Medicare through May 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982796934
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ROBERT JACK MOSTOVOYCredential: D.D.S.
Location Address3641 SACRAMENTO ST, SUITE HSan Francisco, CA 94118-1722
Mailing Address3641 Sacramento St, Suite HSan Francisco, CA 94118-1722 · (415) 775-0974 · Fax (415) 775-2408
Phone(415) 775-0974
Fax(415) 775-2408
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982796934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 19651
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3641 SACRAMENTO ST, San Francisco, CA 94118
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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. Robert Jack Mostovoy 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 May 11, 2016 through May 11, 2028.

Opt-Out Effective DateMay 11, 2016
Opt-Out In Effect ThroughMay 11, 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 94118 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

DR. TIFFANY ARTHUR KLEIN M.D.
Pediatrics
3641 SACRAMENTO ST, SUITE A
SAN FRANCISCO, CA 94118
San Francisco County (415) 601-1339
NOAH B. SIMONS MD
Pediatrics
3641 SACRAMENTO ST, SUITE A
SAN FRANCISCO, CA 94118
San Francisco County (415) 601-1339
MICHAEL J. SCHNEIDER D.C.
Chiropractor
3641 SACRAMENTO ST, STE F
SAN FRANCISCO, CA 94118
San Francisco County (415) 292-7878
DR. LINDA B HASKETT PH.D.
Psychologist
3641 SACRAMENTO ST, SUITE J
SAN FRANCISCO, CA 94118
San Francisco County (415) 409-0850
PAMELA J SPRINGS MFT
Psychologist (Group Psychotherapy)
3641 SACRAMENTO ST, STE D
SAN FRANCISCO, CA 94118
San Francisco County (415) 753-2206
DR. DAN LINDER DDS
Dentist (General Practice)
3641 SACRAMENTO ST, SUITE C
SAN FRANCISCO, CA 94118
San Francisco County (415) 563-4250
AFSHIN RAHIMI D.M.D.
Dentist (General Practice)
3641 SACRAMENTO ST, SUITE C
SAN FRANCISCO, CA 94118
San Francisco County (415) 563-4250
DR. STEPHEN CRAIG PARDYS MD
Internal Medicine
3641 SACRAMENTO ST, #E
SAN FRANCISCO, CA 94118
San Francisco County (415) 922-2391

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 Robert Mostovoy's NPI number?

The NPI number for Robert Mostovoy is 1982796934. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Robert Mostovoy located?

Robert Mostovoy practices at 3641 Sacramento St Suite H, San Francisco, CA 94118. The listed phone number is (415) 775-0974.

What is Robert Mostovoy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Robert Mostovoy enrolled in Medicare?

No. Robert Mostovoy has opted out of Medicare through May 11, 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 Robert Mostovoy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.