DR. SUSAN KAYE PEDOTT DMD
NPI 1063432565
Dentist - Endodontics in Houston, TX

Q: What is Susan Pedott's NPI number?

The NPI number for Susan Pedott is 1063432565. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Susan Pedott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Susan Pedott enrolled in Medicare?

No. Susan Pedott has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Pedott was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 20, 2006Opted out of Medicare · through Apr 8, 2028

5020 FM 1960 RD W, STE. B1, HOUSTON, TX 77069(610) 216-9609(281) 232-9890 Get Directions Write a Review

NPPES record last updated: July 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Susan Kaye Pedott Dmd NPPES

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

DR. SUSAN KAYE PEDOTT DMD (NPI 1063432565) is an individual endodontics provider in Houston, Texas, licensed in Texas (24500) and active in the NPI registry since July 2006. She has opted out of Medicare through April 8, 2028.

NPPES Registry Identity

NPI1063432565

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. SUSAN KAYE PEDOTTCredential: DMD

Location Address5020 FM 1960 RD W, STE. B1Houston, TX 77069-4519

Mailing Address1218 Sw Military DrSan Antonio, TX 78221-1535 · (610) 216-9609 · Fax (281) 232-9890

Phone(610) 216-9609

Fax(281) 232-9890

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 30, 2010

✔ NPI 1063432565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in TX · 24500✔ Licensed in PA · DS030073-L

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

5020 FM 1960 RD W, Houston, TX 77069

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Susan Kaye Pedott 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 April 8, 2016 through April 8, 2028.

Opt-Out Effective DateApril 8, 2016

Opt-Out In Effect ThroughApril 8, 2028Opt-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 77069 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 6

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

GHOLAM ZAKHIREH

Dentist (Oral and Maxillofacial Surgery)

5020 FM 1960 RD W
HOUSTON, TX 77069

Harris County (281) 580-9058

KAREN SUE THOMASON D.C.

Chiropractor

5020 FM 1960 RD W, SUITE B6
HOUSTON, TX 77069

Harris County (281) 580-1961

DR. BRAD W GRIFFIN D.D.S.

Dentist (General Practice)

5020 FM 1960 RD W, SUITE B
HOUSTON, TX 77069

Harris County (281) 580-9058

SHILPA KHULLAR

Dentist (General Practice)

5020 FM 1960 RD W
HOUSTON, TX 77069

Harris County (281) 580-9058

DUNG HUYNH

Dentist (General Practice)

5020 FM 1960 RD W
HOUSTON, TX 77069

Harris County (281) 580-9058

DR. SUNG-WEN KEN WANG DDS

Dentist (General Practice)

5020 FM 1960 RD W, SUITE B1
HOUSTON, TX 77069

Harris County (281) 893-3255

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 Susan Pedott's NPI number?

The NPI number for Susan Pedott is 1063432565. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Susan Pedott located?

Susan Pedott practices at 5020 Fm 1960 Rd W Ste. B1, Houston, TX 77069. The listed phone number is (610) 216-9609.

What is Susan Pedott's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Susan Pedott enrolled in Medicare?

No. Susan Pedott has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan Pedott accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Susan Pedott 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 Susan Pedott was last updated on July 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.