Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JAMES L TEDESCO DDS
NPI 1063415503
Dentist - General Practice in West Seneca, NY

Active since May 28, 2005Opted out of Medicare · through Nov 10, 2027
1643 ORCHARD PARK RD, WEST SENECA, NY 14224(716) 675-3900(716) 675-2477 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James L Tedesco Dds NPPES

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

DR. JAMES L TEDESCO DDS (NPI 1063415503) is an individual general practice provider in West Seneca, New York, licensed in New York (032887) and active in the NPI registry since May 2005. He has opted out of Medicare through November 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063415503
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES L TEDESCOCredential: DDS
Location Address1643 ORCHARD PARK RDWest Seneca, NY 14224-4616
Mailing Address1643 Orchard Park RdWest Seneca, NY 14224-4616 · (716) 675-3900 · Fax (716) 675-2477
Fax(716) 675-2477
Sole ProprietorNo
Enumeration DateMay 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1063415503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 032887
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.

1643 ORCHARD PARK RD, West Seneca, NY 14224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. James L Tedesco Dds 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 November 10, 2015 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2015
Opt-Out In Effect ThroughNovember 10, 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 14224 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 James Tedesco's NPI number?

The NPI number for James Tedesco is 1063415503. It was assigned to this individual provider in the NPPES registry on May 28, 2005.

Where is James Tedesco located?

James Tedesco practices at 1643 Orchard Park Rd, West Seneca, NY 14224. The listed phone number is (716) 675-3900.

What is James Tedesco's specialty?

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

Is James Tedesco enrolled in Medicare?

No. James Tedesco has opted out of Medicare through November 10, 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 James Tedesco accept?

Health plans from Humana list James Tedesco 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 James Tedesco was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.