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DR. PETER H PRUDEN D.D.S.
NPI 1013087790
Dentist - Oral and Maxillofacial Surgery in Huntington, NY

Active since November 09, 2006Opted out of Medicare · through Oct 1, 2027
177 MAIN ST STE 102, HUNTINGTON, NY 11743(631) 421-2471(631) 547-6809 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter H Pruden D.d.s. NPPES

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

DR. PETER H PRUDEN D.D.S. (NPI 1013087790) is an individual oral and maxillofacial surgery provider in Huntington, New York, licensed in New York (034661) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013087790
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PETER H PRUDENCredential: D.D.S.
Location Address177 MAIN ST STE 102Huntington, NY 11743-6917
Mailing Address177 Main St Ste 102Huntington, NY 11743-6917 · (631) 421-2471 · Fax (631) 547-6809
Phone(631) 421-2471
Fax(631) 547-6809
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013087790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 034661
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.
177 MAIN ST STE 102, Huntington, NY 11743
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Other Identifiers 2

Medicare ID-Type UnspecifiedD0E231NY
Medicare UPINT49247NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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. Peter H Pruden D.d.s. 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 11743 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Peter Pruden's NPI number?

The NPI number for Peter Pruden is 1013087790. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Peter Pruden located?

Peter Pruden practices at 177 Main St Ste 102, Huntington, NY 11743. The listed phone number is (631) 421-2471.

What is Peter Pruden's specialty?

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

Is Peter Pruden enrolled in Medicare?

No. Peter Pruden 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 Peter Pruden accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Peter Pruden 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 Peter Pruden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.