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DR. MATT GORDON VANDERMOLEN DDS
NPI 1023194487
Dentist - General Practice in Springfield, IL

Active since October 28, 2006PECOS Enrolled
4701 WABASH AVE, SPRINGFIELD, IL 62711(217) 546-3333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matt Gordon Vandermolen Dds NPPES

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

DR. MATT GORDON VANDERMOLEN DDS (NPI 1023194487) is an individual general practice provider in Springfield, Illinois and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023194487
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATT GORDON VANDERMOLENCredential: DDS
Location Address4701 WABASH AVESpringfield, IL 62711-9694
Mailing Address4701 Wabash AveSpringfield, IL 62711-9694 · (217) 546-3333
Phone(217) 546-3333
Sole ProprietorNo
Enumeration DateOctober 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023194487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4701 WABASH AVE, Springfield, IL 62711
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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. Matt Gordon Vandermolen Dds 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 62711 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

ADVANCED DENTAL CARE OF SPRINGFIELD LLP
Dentist (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711
Sangamon County (217) 546-3333
MATT VANDERMOLEN DDS PC
Dentist (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711
Sangamon County (217) 546-3333

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 Matt Vandermolen's NPI number?

The NPI number for Matt Vandermolen is 1023194487. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Matt Vandermolen located?

Matt Vandermolen practices at 4701 Wabash Ave, Springfield, IL 62711. The listed phone number is (217) 546-3333.

What is Matt Vandermolen's specialty?

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

Is Matt Vandermolen enrolled in Medicare?

Yes. Matt Vandermolen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matt Vandermolen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.