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MR. CHARLES J PETRILLO DMD
NPI 1033310651
Dentist in Levittown, PA

Active since May 30, 2007Opted out of Medicare · through May 28, 2027
218 WILLOW DRIVE, LEVITTOWN, PA 19054(215) 946-7717(215) 946-8727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles J Petrillo Dmd NPPES

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

MR. CHARLES J PETRILLO DMD (NPI 1033310651) is an individual dentist in Levittown, Pennsylvania, licensed in Pennsylvania (DS021174L) and active in the NPI registry since May 2007. He has opted out of Medicare through May 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033310651
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. CHARLES J PETRILLOCredential: DMD
Location Address218 WILLOW DRIVELevittown, PA 19054
Mailing Address218 Willow DriveLevittown, PA 19054 · (215) 946-7717 · Fax (215) 946-8727
Phone(215) 946-7717
Fax(215) 946-8727
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033310651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS021174L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
218 WILLOW DRIVE, Levittown, PA 19054
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Mr. Charles J Petrillo Dmd 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 May 28, 2019 through May 28, 2027.

Opt-Out Effective DateMay 28, 2019
Opt-Out In Effect ThroughMay 28, 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 19054 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 Charles Petrillo's NPI number?

The NPI number for Charles Petrillo is 1033310651. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Charles Petrillo located?

Charles Petrillo practices at 218 Willow Drive, Levittown, PA 19054. The listed phone number is (215) 946-7717.

What is Charles Petrillo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charles Petrillo enrolled in Medicare?

No. Charles Petrillo has opted out of Medicare through May 28, 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 Charles Petrillo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Charles Petrillo 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 Charles Petrillo 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.