TRACE LANIER LYNN D.D.S.
NPI 1265668974
Dentist in Sulphur, LA

NPI Status: Active since June 09, 2009

Contact Information

3107 MAPLEWOOD DR
SULPHUR, LA
ZIP 70663
Phone: (337) 625-9911
Fax: (337) 625-9912

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  • Individual
  • Male
  • Dentist
  • PECOS Enrolled
  • Opted-Out Medicare

About TRACE LYNN

This page provides the complete NPI Profile along with additional information for Trace Lynn, a provider established in Sulphur, Louisiana with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1265668974 assigned on June 2009. The practitioner's primary taxonomy code is 122300000X with license number LA5970 (LA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1265668974
Provider Name
TRACE LANIER LYNN D.D.S.
Gender
Male
Entity Type
Individual
Location Address
3107 MAPLEWOOD DR SULPHUR, LA 70663
Location Phone
(337) 625-9911
Location Fax
(337) 625-9912
Mailing Address
3107 MAPLEWOOD DR SULPHUR, LA 70663
Mailing Phone
(337) 625-9911
Mailing Fax
(337) 625-9912
Is Sole Proprietor?
Yes
Enumeration Date
06-09-2009
Last Update Date
11-11-2015
Code Navigator

A dentist like Trace Lynn is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Trace Lynn opted out of Medicare effective on 05-09-2016 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
LA5970
License State
LA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Trace Lynn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-09-2016

  • Opt-Out End Date: 05-09-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 70663 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.6
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $20.9
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.06
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $16.76
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265668974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212512616914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 6 + 1 + 6 + 9 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1265668974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205228202 E.SUZANNE MCCRORY D.D.S
Individual
Dentist (General Practice)3107 MAPLEWOOD DR
SULPHUR, LA 70663
(337) 625-9911
1851765556LYNN FAMILY DENTISTRY
Organization
Dentist (General Practice)3107 MAPLEWOOD DR
SULPHUR, LA 70663
(337) 625-9911
1346240678E SUZANNE MCCRORY DDS APC
Organization
Dentist3107 MAPLEWOOD DR
SULPHUR, LA 70663
(337) 625-9911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265668974, enumerated in the NPI registry as an "individual" on June 09, 2009

The provider is located at 3107 Maplewood Dr Sulphur, La 70663 and the phone number is (337) 625-9911

The provider's speciality is Dentist with taxonomy code 122300000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $83.6 with an average copayment of $20.9 for new patient appointments. Established patients should expect a typical charge of $67.06 and an average copayment of 16.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on May 09, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 09, 2026.

This NPI record was last updated on June 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.