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DR. LEE MICHAEL CERESA D.D.S.
NPI 1063513117
Dentist - Endodontics in Peru, IL

Active since September 25, 2006PECOS Enrolled
1601 4TH ST, PERU, IL 61354(815) 224-3636(815) 220-1479 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lee Michael Ceresa D.d.s. NPPES

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

DR. LEE MICHAEL CERESA D.D.S. (NPI 1063513117) is an individual endodontics provider in Peru, Illinois, licensed in Illinois (021001935) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063513117
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. LEE MICHAEL CERESACredential: D.D.S.
Location Address1601 4TH STPeru, IL 61354-3507
Mailing Address1601 4th StPeru, IL 61354-3507 · (815) 224-3636 · Fax (815) 220-1479
Phone(815) 224-3636
Fax(815) 220-1479
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1063513117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IL · 021001935
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.
1601 4TH ST, Peru, IL 61354
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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. Lee Michael Ceresa D.d.s. 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 61354 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.

ILLINOIS VALLEY ENDODONTICS LLC
Dentist (Endodontics)
1601 4TH ST
PERU, IL 61354
Lasalle County (815) 224-3636

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 Lee Ceresa's NPI number?

The NPI number for Lee Ceresa is 1063513117. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Lee Ceresa located?

Lee Ceresa practices at 1601 4th St, Peru, IL 61354. The listed phone number is (815) 224-3636.

What is Lee Ceresa's specialty?

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

Is Lee Ceresa enrolled in Medicare?

Yes. Lee Ceresa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lee Ceresa was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.