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STEPHEN JOSEPH OLLOCK DMD
NPI 1003136904
Dentist in Blossburg, PA

Active since June 03, 2010PECOS Enrolled
116 SEYMOUR ST, BLOSSBURG, PA 16912(570) 638-3468(570) 638-3637 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen Joseph Ollock Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN JOSEPH OLLOCK DMD (NPI 1003136904) is an individual dentist in Blossburg, Pennsylvania, licensed in Pennsylvania (DS038254) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003136904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSTEPHEN JOSEPH OLLOCKCredential: DMD
Location Address116 SEYMOUR STBlossburg, PA 16912-1418
Mailing Address40 W Wellsboro StMansfield, PA 16933-1411 · (570) 662-1945 · Fax (570) 662-2390
Phone(570) 638-3468
Fax(570) 638-3637
Sole ProprietorYes
Enumeration DateJune 3, 2010
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1003136904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS038254
Definition
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.
116 SEYMOUR ST, Blossburg, PA 16912
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Joseph Ollock Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Ollock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Penn Comprehensive Health Services
0.4 mi
Federally Qualified Health Center (FQHC)
6 RIVERSIDE PLZ, BLOSSBURG LAUREL HEALTH CENTER
Blossburg, PA 16912
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1154403038 (570) 638-2174

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CARMEN MARIE BATES RDH
Dental Hygienist
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
OLLOCK DENTAL GROUP LLC
Dentist (General Practice)
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
MELODY A DEMATTEIS
Dentist (General Practice)
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-2174
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468
MRS. KATHRYN KELSEY HERRMANN RDH
Dental Hygienist
116 SEYMOUR ST
BLOSSBURG, PA 16912
Tioga County (570) 638-3468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Ollock's NPI number?

The NPI number for Stephen Ollock is 1003136904. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Stephen Ollock located?

Stephen Ollock practices at 116 Seymour St, Blossburg, PA 16912. The listed phone number is (570) 638-3468.

What is Stephen Ollock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stephen Ollock enrolled in Medicare?

Yes. Stephen Ollock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Ollock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Ollock reassigns Medicare benefits to North Penn Comprehensive Health Services (Blossburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Ollock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Ollock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephen Ollock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Ollock was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.