NPI 1003011818
Dentist - Periodontics in Danville, VA

NPI Status: Active since June 20, 2007

Contact Information

ZIP 24540
Phone: (434) 793-1400
Fax: (434) 793-1401

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


Robert Carlish is a provider established in Danville, Virginia and his medical specialization is Dentist with a focus in periodontics . The healthcare provider is registered in the NPI registry with number 1003011818 assigned on June 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 0401005823 (VA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

Location Address140 PINEY FOREST ROAD SUITE # 3 DANVILLE, VA 24540
Location Phone(434) 793-1400
Mailing Address140 PINEY FOREST ROAD SUITE # 3 DANVILLE, VA 24540
Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-20-2007
Last Update Date07-08-2007
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A dentist like Robert Carlish 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. Robert Carlish opted out of Medicare effective on 04-15-2015 until 04-15-2025. 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

Mailing Address

ZIP 24540
Phone: (434) 793-1400
Fax: (434) 793-1401

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.


Dentist Periodontics

Taxonomy Code1223P0300X
TypeDental Providers
License No.0401005823
License StateVA
Taxonomy DescriptionThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

PECOS Enrollment and Medicare Participation Status

Robert Carlish 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: 04-15-2015

  • Opt-Out End Date: 04-15-2025

  • 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 24540 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $90.36
  • Minimum New Patient Price $58.76
  • Maximum New Patient Price $178.23
  • Average New Patient Copayment $22.59
  • Minimum New Patient Copayment $14.69
  • Maximum New Patient Copayment $44.55

Established Patients Visit Costs *

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

  • Average Established Patient Price $73.51
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $145.63
  • Average Established Patient Copayment $18.37
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $36.4

* 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.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 8 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003011818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Dr. Robert Carlish DMD NPI number?

The NPI number assigned to this healthcare provider is 1003011818, enumerated in the NPI registry as an "individual" on June 20, 2007

Where is the provider located?

The provider is located at 140 Piney Forest Road Suite # 3 Danville, Va 24540 and the phone number is (434) 793-1400

What is the provider specialty code?

The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics

Is Dr. Robert Carlish DMD registered in PECOS?

Yes, as of February 16, 2024 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).

How much is a visit to Dr. Robert Carlish DMD?

Medicare beneficiaries should expect a typical cost of $90.36 with an average copayment of $22.59 for new patient appointments. Established patients should expect a typical charge of $73.51 and an average copayment of 18.37. Please review your insurance plan or contact the provider directly to determine your specific costs.

Does Dr. Robert Carlish DMD accepts Medicare?

No, the provider signed an affidavit on April 15, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 15, 2025.

How do I update my NPI information?

This NPI record was last updated on June 20, 2007. 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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