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Active NPI 1871696203 Individual Practitioner Male Practitioner

Dr. Thomas Michael Gotsis , DDS

Dentist - General Practice • Bridgeton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Gotsis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bridgeton, MO. Practice services are available at 12266 DEPAUL DR under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12266 Depaul Dr
Ste 325

Bridgeton, MO 63044

Telephone 3142919000
Fax 3142910590
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Bridgeton, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
11 11 $400.00 $213.55

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO DE015476

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan
6473770001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Terry Weis , DO

Orthopaedic Surgery

NPI 1154347995

Doctor of Osteopathic Medicine (D.O.)

NPI 1235245598

Doctor of Medicine (M.D.)

Dr. Randall Roush , MD

Orthopaedic Surgery

NPI 1255357091

Doctor of Medicine (M.D.)

NPI 1336592757

Doctor of Pharmacy (Pharm.D.)

Janet Knebel , RN

Registered Nurse - Enterostomal Therapy

NPI 1871730499

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2011

Registered at 12266 DEPAUL DR, STE 325, BRIDGETON, MO 63044 (Tel: 3142919000)

📍
Updated Business Mailing Address February 03, 2011

Registered at 12266 DEPAUL DR, STE 325, BRIDGETON, MO 63044 (Tel: 3142919000)

👤
Provider Name / Credentials Updated February 03, 2011

Recorded as THOMAS GOTSIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2011

Dentist (License #DE015476 in MO)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871696203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: February 03, 2011
Sole Proprietor: Yes

Mailing Address

12266 Depaul Dr, Ste 325

Bridgeton, MO 63044

Phone: 3142919000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.