DR. JOHN J. RYDLEWICZ D.D.S.
NPI 1992895031
Dentist - Oral and Maxillofacial Surgery in Appleton, WI

Active since October 12, 2006Opted out of Medicare · through Apr 1, 2028
5395 MICHAELS DR, APPLETON, WI 54913(920) 739-1214(920) 739-5855 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John J. Rydlewicz D.d.s. NPPES

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

DR. JOHN J. RYDLEWICZ D.D.S. (NPI 1992895031) is an individual oral and maxillofacial surgery provider in Appleton, Wisconsin, licensed in Wisconsin (5557-015) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992895031
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN J. RYDLEWICZCredential: D.D.S.
Location Address5395 MICHAELS DRAppleton, WI 54913-8447
Mailing Address5395 Michaels DrAppleton, WI 54913-8447 · (920) 739-1214 · Fax (920) 739-5855
Fax(920) 739-5855
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 19, 2008
NPI 1992895031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 5557-015
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5395 MICHAELS DR, Appleton, WI 54913

Accepted Insurance

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. John J. Rydlewicz 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 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 54913 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 6

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

Durable Medical Equipment & Medical Supplies
5395 MICHAELS DR
APPLETON, WI 54913
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Clinic/Center (Oral and Maxillofacial Surgery)
5395 MICHAELS DR
APPLETON, WI 54913
Specialist
5395 MICHAELS DR
APPLETON, WI 54913
Specialist
5395 MICHAELS DR
APPLETON, WI 54913

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 John Rydlewicz's NPI number?

The NPI number for John Rydlewicz is 1992895031. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Rydlewicz located?

John Rydlewicz practices at 5395 Michaels Dr, Appleton, WI 54913. The listed phone number is (920) 739-1214.

What is John Rydlewicz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Rydlewicz enrolled in Medicare?

No. John Rydlewicz has opted out of Medicare through April 1, 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.

What insurance does John Rydlewicz accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list John Rydlewicz 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 John Rydlewicz was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.