MONTCO ORAL AND MAXILLOFACIAL SURGERY
NPI 1043496599
Dentist - Oral and Maxillofacial Surgery in Trappe, PA

Active since January 15, 2008
545 W MAIN ST, SUITE 24, TRAPPE, PA 19426(610) 489-0525(610) 489-4720 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Montco Oral And Maxillofacial Surgery NPPES

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

MONTCO ORAL AND MAXILLOFACIAL SURGERY (NPI 1043496599) is a healthcare organization registered as an oral and maxillofacial surgery in Trappe, Pennsylvania and active in the NPI registry since January 2008. The organization lists Mary E Lukas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1043496599
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMONTCO ORAL AND MAXILLOFACIAL SURGERY
Location Address545 W MAIN ST, SUITE 24Trappe, PA 19426-1981
Mailing Address545 W Main St, Suite 24Trappe, PA 19426-1981 · (610) 489-0525 · Fax (610) 489-4720
Fax(610) 489-4720
Organization SubpartNo
Authorized OfficialMary E LukasOffice Manager · (610) 489-0525
Enumeration DateJanuary 15, 2008
✔ NPI 1043496599 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 PA · DS024305
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.
545 W MAIN ST, Trappe, PA 19426

Other Identifiers 1

Medicare PIN500298PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montco Oral And Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040615001467Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Montco Oral And Maxillofacial Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1902854839
430 PARK AVENUE STE 100
Collefeville, PA 19426
(610) 489-0525
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Montco Oral And Maxillofacial Surgery's NPI number?

The NPI number for Montco Oral And Maxillofacial Surgery is 1043496599. It was assigned to this organization in the NPPES registry on January 15, 2008.

Where is Montco Oral And Maxillofacial Surgery located?

Montco Oral And Maxillofacial Surgery is located at 545 W Main St Suite 24, Trappe, PA 19426. The listed phone number is (610) 489-0525.

What is Montco Oral And Maxillofacial Surgery's specialty?

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

Is Montco Oral And Maxillofacial Surgery enrolled in Medicare?

Yes. Montco Oral And Maxillofacial Surgery is registered in the Medicare PECOS enrollment system.

When is Montco Oral And Maxillofacial Surgery's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Montco Oral And Maxillofacial Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Montco Oral And Maxillofacial Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montco Oral And Maxillofacial Surgery accept?

Health plans from UnitedHealthcare list Montco Oral And Maxillofacial Surgery 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 Montco Oral And Maxillofacial Surgery was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.