IAN CHARLES MCCOMB
NPI 1003234287
Oral & Maxillofacial Surgery in Maywood, IL

Q: What is Ian Mccomb's NPI number?

The NPI number for Ian Mccomb is 1003234287. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Ian Mccomb's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: Is Ian Mccomb enrolled in Medicare?

No. Ian Mccomb has opted out of Medicare through November 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ian Mccomb was last updated on May 25, 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.

Active since April 03, 2014Opted out of Medicare · through Nov 7, 2027

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 25, 2022, Oct 5, 2021, Jul 27, 2020 and 2 more (5 updates tracked since 2018).

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About Ian Charles Mccomb NPPES

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

IAN CHARLES MCCOMB (NPI 1003234287) is an individual oral & maxillofacial surgery provider in Maywood, Illinois, licensed in Illinois (021003032) and active in the NPI registry since April 2014. He has opted out of Medicare through November 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003234287

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameIAN CHARLES MCCOMB

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000

Phone(708) 216-9000

Sole ProprietorNo

Enumeration DateApril 3, 2014

Last NPPES UpdateMay 25, 20225 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1003234287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in IL · 021003032✔ Licensed in MI · 2901022524

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 019029867 (IL)

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ian Charles Mccomb has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2023 through November 7, 2027.

Opt-Out Effective DateNovember 7, 2023

Opt-Out In Effect ThroughNovember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

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