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DR. JESSE ERIC RICCIUTI DDS
NPI 1003296831
Dentist - Oral and Maxillofacial Surgery in Monroe, NC

Active since June 07, 2015Opted out of Medicare · through Oct 1, 2027
1851 WELLNESS BLVD, MONROE, NC 28110(704) 291-7333(704) 292-1203 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2023, Sep 3, 2019 (2 updates tracked since 2019).

About Dr. Jesse Eric Ricciuti Dds NPPES

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

DR. JESSE ERIC RICCIUTI DDS (NPI 1003296831) is an individual oral and maxillofacial surgery provider in Monroe, North Carolina, licensed in North Carolina (11566) and active in the NPI registry since June 2015. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003296831
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JESSE ERIC RICCIUTICredential: DDS
Location Address1851 WELLNESS BLVDMonroe, NC 28110-7774
Mailing Address1851 Wellness BlvdMonroe, NC 28110-7774 · (704) 291-7333 · Fax (704) 292-1203
Phone(704) 291-7333
Fax(704) 292-1203
Sole ProprietorYes
Enumeration DateJune 7, 2015
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1003296831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NC · 11566✔ Licensed in SC · 9450
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1851 WELLNESS BLVD, Monroe, NC 28110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Delta Dental of North Carolina, Guardian and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jesse Eric Ricciuti Dds 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28110 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

MS. KELLEY SUZANNE LYBRAND D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1851 WELLNESS BLVD
MONROE, NC 28110
Union County (704) 291-7333
DR. TARA ANNE VALIQUETTE DMD
Dentist (Oral and Maxillofacial Surgery)
1851 WELLNESS BLVD
MONROE, NC 28110
Union County (704) 291-7333
ERIK F REITTER DDS
Dentist (Oral and Maxillofacial Surgery)
1851 WELLNESS BLVD
MONROE, NC 28110
Union County (704) 291-7333
DR. STEVEN RUSSELL PATTY DDS, PA
Dentist (Oral and Maxillofacial Surgery)
1851 WELLNESS BLVD
MONROE, NC 28110
Union County (704) 291-7333

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 Jesse Ricciuti's NPI number?

The NPI number for Jesse Ricciuti is 1003296831. It was assigned to this individual provider in the NPPES registry on June 7, 2015.

Where is Jesse Ricciuti located?

Jesse Ricciuti practices at 1851 Wellness Blvd, Monroe, NC 28110. The listed phone number is (704) 291-7333.

What is Jesse Ricciuti's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jesse Ricciuti enrolled in Medicare?

No. Jesse Ricciuti has opted out of Medicare through October 1, 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.

What insurance does Jesse Ricciuti accept?

Health plans from Anthem Blue Cross and Blue Shield, Delta Dental of North Carolina, Guardian and Renaissance Dental list Jesse Ricciuti 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 Jesse Ricciuti was last updated on November 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.