DR. JUSTIN PFAFFINGER DDS
NPI 1972837490
Dentist - General Practice in Grass Valley, CA
NPI Status: Active since September 30, 2009
Contact Information
1345 WHISPERING PINES LN
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-9340
Fax: (530) 273-7255
- Individual
- Male
- Dentist
- General Practice
- PECOS Enrolled
- Opted-Out Medicare
About JUSTIN PFAFFINGER
This page provides the complete NPI Profile along with additional information for Justin Pfaffinger, a provider established in Grass Valley, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1972837490 assigned on September 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 58375 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1972837490
- Provider Name
- DR. JUSTIN PFAFFINGER DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945
- Location Phone
- (530) 273-9340
- Location Fax
- (530) 273-7255
- Mailing Address
- 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945
- Mailing Phone
- (530) 273-9340
- Mailing Fax
- (530) 273-7255
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2009
- Last Update Date
- 09-30-2009
- Code Navigator
A dentist like Justin Pfaffinger 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. Justin Pfaffinger opted out of Medicare effective on 05-04-2016 until 05-04-2026. 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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 58375
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Justin Pfaffinger 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: 05-04-2016
Opt-Out End Date: 05-04-2026
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 95945 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.32
- Minimum New Patient Price $58.87
- Maximum New Patient Price $176.6
- Average New Patient Copayment $22.58
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.16
- Minimum Established Patient Price $19.28
- Maximum Established Patient Price $144.6
- Average Established Patient Copayment $18.29
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.15
* 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 DR. JUSTIN PFAFFINGER DDS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 9 | 7 | 2 | 8 | 3 | 7 | 4 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 16 | 3 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 6 + 3 + 1 + 4 + 4 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1972837490 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 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467400853 | DR. HUY ANH NGUYEN D.O. Individual | Family Medicine | 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945 (530) 272-9770 |
| 1134246200 | STEVEN STAR PA Individual | Physician Assistant | 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945 (530) 273-4984 |
| 1417383738 | MRS. DANIELLE MARIE YANTIS M.S., R.D. Individual | Dietitian, Registered | 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945 (530) 274-9762 |
| 1023005774 | DR. KAREN FAY HIGGINS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945 (530) 274-9762 |
| 1417942939 | DR. FRANK JOHN LANG JR. M.D. Individual | Family Medicine | 1345 WHISPERING PINES LN GRASS VALLEY, CA 95945 (530) 273-9340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972837490, enumerated in the NPI registry as an "individual" on September 30, 2009
The provider is located at 1345 Whispering Pines Ln Grass Valley, Ca 95945 and the phone number is (530) 273-9340
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
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 $90.32 with an average copayment of $22.58 for new patient appointments. Established patients should expect a typical charge of $73.16 and an average copayment of 18.29. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on May 04, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 04, 2026.
This NPI record was last updated on September 30, 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.