DERIK E STUCKER DDS
NPI 1336314400
Dentist in Amenia, NY

NPI Status: Active since April 29, 2008

Contact Information

3360 ROUTE 343
HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY
ZIP 12501
Phone: (845) 838-7038
Fax: (845) 373-7021

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  • Individual
  • Male
  • Dentist
  • Accepts Insurance
  • PECOS Enrolled

About DERIK STUCKER

This page provides the complete NPI Profile along with additional information for Derik Stucker, a provider established in Amenia, New York with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1336314400 assigned on April 2008. The practitioner's primary taxonomy code is 122300000X with license number 054444 (NY). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1336314400
Provider Name
DERIK E STUCKER DDS
Gender
Male
Entity Type
Individual
Location Address
3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC. AMENIA, NY 12501
Location Phone
(845) 838-7038
Location Fax
(845) 373-7021
Mailing Address
1037 MAIN ST HUDSON RIVER HEALTHCARE, INC. PEEKSKILL, NY 10566
Mailing Phone
(914) 734-8800
Mailing Fax
(845) 373-7021
Is Sole Proprietor?
No
Enumeration Date
04-29-2008
Last Update Date
02-19-2014
Code Navigator

A dentist like Derik Stucker 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.

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.
054444
License State
NY
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

TD-00-19 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03541646MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Derik Stucker 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

  • 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 12501 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $95.99
  • Minimum New Patient Price $61.88
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $23.99
  • Minimum New Patient Copayment $15.47
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

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

  • Average Established Patient Price $76.88
  • Minimum Established Patient Price $19.92
  • Maximum Established Patient Price $151.94
  • Average Established Patient Copayment $19.22
  • Minimum Established Patient Copayment $4.98
  • Maximum Established Patient Copayment $37.98

* 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.

Reviews for DERIK E STUCKER DDS

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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.
1336314400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236661840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 1 + 8 + 4 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336314400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154391779 RACHEL PERLMUTTER TANTRI A.R.N.P.
Individual
Nurse Practitioner (Family)3360 ROUTE 343 HUDSON RIVER HEALTH CARE
AMENIA, NY 12501
(845) 373-9006
1063447746 ROBERT DWECK M.D.
Individual
Family Medicine3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 373-9006
1962505214 LOUISE LINDENMEYR FNP
Individual
Nurse Practitioner (Family)3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 373-9006
1053406611 STEFANIE J. LINDAHL M.D.
Individual
Psychiatry & Neurology (Psychiatry)3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 373-9006
1326379371 ELIZABETH ANNE WILLIS LCSWR
Individual
Social Worker (Clinical)3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 838-7038
1851775563DR. SUSANNA JACOB D.D.S
Individual
Dentist3360 ROUTE 343
AMENIA, NY 12501
(845) 838-7038
1528300944 ABRAHAM YOUNG M.D.
Individual
Family Medicine3360 ROUTE 343 HUDSON RIVER HEALTH CARE
AMENIA, NY 12501
(845) 838-7038
1841693199MS. LISA ANN HOTCHKISS LCSW
Individual
Social Worker (Clinical)3360 ROUTE 343
AMENIA, NY 12501
(845) 838-7038
1568526838SUN RIVER HEALTH INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 373-9006
1578959458 KATHLEEN LILE BERNARD M.D.
Individual
Family Medicine3360 ROUTE 343
AMENIA, NY 12501
(845) 838-7038
1124030069 LISA ANN STRAUS M.D.
Individual
Family Medicine3360 ROUTE 343 HUDSON RIVER HEALTHCARE, INC.
AMENIA, NY 12501
(845) 373-9006
1770176729 MARIA DOLORES CABALLERO JAIME LMHC
Individual
Counselor (Mental Health)3360 ROUTE 343
AMENIA, NY 12501
(845) 838-7038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336314400, enumerated in the NPI registry as an "individual" on April 29, 2008

The provider is located at 3360 Route 343 Hudson River Healthcare, Inc. Amenia, Ny 12501 and the phone number is (845) 838-7038

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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 $95.99 with an average copayment of $23.99 for new patient appointments. Established patients should expect a typical charge of $76.88 and an average copayment of 19.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 29, 2008. 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].
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