DR. PAUL M DESTEFANIS D.D.S.
NPI 1023161304
Dentist - General Practice in Elm Grove, WI

Q: What is Paul Destefanis's NPI number?

The NPI number for Paul Destefanis is 1023161304. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Paul Destefanis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Destefanis 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.

Active since January 19, 2007PECOS Enrolled

1050 LEGION DR, ELM GROVE, WI 53122(262) 782-5400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Paul M Destefanis D.d.s. NPPES

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

DR. PAUL M DESTEFANIS D.D.S. (NPI 1023161304) is an individual general practice provider in Elm Grove, Wisconsin, licensed in Wisconsin (4675) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023161304

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAUL M DESTEFANISCredential: D.D.S.

Location Address1050 LEGION DRElm Grove, WI 53122-2230

Mailing Address525 Riverview DrThiensville, WI 53092-1745 · (262) 782-5400

Phone(262) 782-5400

Sole ProprietorYes

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023161304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 4675

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1050 LEGION DR, Elm Grove, WI 53122

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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, BEST Life, 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

✔

Enrolled in Medicare (PECOS)

Dr. Paul M Destefanis D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53122 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 Paul Destefanis's NPI number?

The NPI number for Paul Destefanis is 1023161304. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Paul Destefanis located?

Paul Destefanis practices at 1050 Legion Dr, Elm Grove, WI 53122. The listed phone number is (262) 782-5400.

What is Paul Destefanis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Destefanis enrolled in Medicare?

Yes. Paul Destefanis is registered in the Medicare PECOS enrollment system.

What insurance does Paul Destefanis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Paul Destefanis 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 Paul Destefanis 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.