DR. JULIA R PESAVENTO D.M.D.
NPI 1043435175
Dentist - General Practice in Rockford, IL

Active since April 16, 2007PECOS Enrolled
1075 FEATHERSTONE RD STE 30, ROCKFORD, IL 61107(815) 395-1711(815) 395-1705 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Julia R Pesavento D.m.d. NPPES

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

DR. JULIA R PESAVENTO D.M.D. (NPI 1043435175) is an individual general practice provider in Rockford, Illinois, licensed in Illinois (019-019656) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043435175
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JULIA R PESAVENTOCredential: D.M.D.
Location Address1075 FEATHERSTONE RD STE 30Rockford, IL 61107-5906
Mailing Address1075 Featherstone Road, Suite 30Rockford, IL 61072 · (815) 395-1711 · Fax (815) 395-1705
Fax(815) 395-1705
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 28, 2020
NPI 1043435175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-019656
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.
1075 FEATHERSTONE RD STE 30, Rockford, IL 61107

Other Identifiers 1

Other019-019656IL · License Number

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. Julia R Pesavento D.m.d. 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 61107 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

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

Dentist (General Practice)
1075 FEATHERSTONE RD STE 30
ROCKFORD, IL 61107

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 Julia Pesavento's NPI number?

The NPI number for Julia Pesavento is 1043435175. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Julia Pesavento located?

Julia Pesavento practices at 1075 Featherstone Rd Ste 30, Rockford, IL 61107. The listed phone number is (815) 395-1711.

What is Julia Pesavento's specialty?

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

Is Julia Pesavento enrolled in Medicare?

Yes. Julia Pesavento is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Julia Pesavento was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.