DR. JUSTIN R KOLASA (D.M.D., M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1598100372
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 ORAL SURGERY in KY
Provider Addresses for DR. JUSTIN R KOLASA (D.M.D., M.D.)
709 W MAIN ST
MOREHEAD, KY 403511443
Phone: (606) 784-8983
Fax: (606) 784-4408
Type: Location
400 S 4TH ST
DANVILLE, KY 404222094
Phone: (859) 236-1130
Fax: (859) 239-0050
Type: Mailing
399 W Maple Leaf Rd
Maysville, KY 410569176
Phone: (606) 564-9495
Fax: (606) 564-9495
Type: Location
800 Rose St
Oral and Maxillofacial Surgery
Lexington, KY 405360292
Phone: (859) 749-5824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190725003816 | I | Oral Surgery | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 40351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Maxillofacial Surgery, Oral Surgery | KY |
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